| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $52.48 | $97.72 | |
CareFirst
| Professional | $26.30 | $288.40 | $707.95 | |
Cigna
| Professional | $26.30 | $58.88 | $102.33 | |
Kaiser Permanente
| Professional | $64.57 | $81.28 | $144.54 | |
United
| Professional | $26.30 | $54.95 | $123.03 |