| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $19.95 | $23.99 | |
CareFirst
| Professional | $18.20 | $19.95 | $22.91 | |
Cigna
| Professional | $13.18 | $13.18 | $13.18 | |
Kaiser Permanente
| Professional | $23.99 | $27.54 | $47.86 | |
United
| Facility | $10.47 | $10.47 | $19.05 | |
United
| Professional | $11.22 | $11.75 | $16.60 |