| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.97 | $48.97 | $48.97 | |
CareFirst
| Professional | $45.07 | $50.12 | $4,379.00 | |
Cigna
| Professional | $36.09 | $48.41 | $101.04 | |
Kaiser Permanente
| Professional | $87.24 | $87.24 | $87.24 | |
United
| Professional | $36.90 | $57.66 | $117.63 |