| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $67.61 | $177.83 | |
CareFirst
| Professional | $52.48 | $1,949.84 | $5,128.61 | |
Cigna
| Professional | $45.71 | $74.13 | $177.83 | |
Kaiser Permanente
| Professional | $79.43 | $83.18 | $181.97 | |
United
| Professional | $45.71 | $70.79 | $154.88 |