| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.72 | $39.72 | $39.72 | |
CareFirst
| Professional | $31.64 | $37.49 | $698.00 | |
Cigna
| Professional | $25.73 | $32.94 | $82.93 | |
Kaiser Permanente
| Professional | $72.56 | $72.56 | $72.56 | |
United
| Professional | $27.86 | $43.32 | $97.84 |