| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.22 | $45.22 | $109.43 | |
CareFirst
| Professional | $36.71 | $43.31 | $698.00 | |
Cigna
| Professional | $29.41 | $38.47 | $91.45 | |
Kaiser Permanente
| Professional | $83.85 | $83.85 | $83.85 | |
United
| Professional | $31.41 | $49.08 | $113.05 |