| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.90 | $41.90 | $51.31 | |
CareFirst
| Professional | $44.90 | $44.90 | $596.00 | |
Cigna
| Professional | $44.67 | $67.36 | $115.20 | |
Kaiser Permanente
| Professional | $55.20 | $119.12 | $119.12 | |
United
| Professional | $48.38 | $75.59 | $137.65 |