| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $40.74 | $128.82 | |
CareFirst
| Professional | $35.48 | $40.74 | $48.98 | |
Cigna
| Professional | $21.38 | $30.20 | $194.98 | |
Kaiser Permanente
| Professional | $64.57 | $104.71 | $120.23 | |
United
| Professional | $33.11 | $39.81 | $114.82 |