| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $46.77 | $67.61 | |
CareFirst
| Professional | $15.49 | $56.23 | $162.18 | |
Cigna
| Professional | $43.65 | $63.10 | $151.36 | |
Kaiser Permanente
| Professional | $60.26 | $72.44 | $125.89 | |
United
| Professional | $38.90 | $67.61 | $162.18 |