| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.20 | $56.72 | $83.04 | |
CareFirst
| Professional | $43.13 | $43.13 | $660.00 | |
Cigna
| Professional | $51.01 | $117.77 | $217.21 | |
Kaiser Permanente
| Professional | $113.81 | $187.19 | $187.19 | |
United
| Professional | $68.26 | $172.00 | $220.85 |