| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.06 | $75.25 | $80.80 | |
CareFirst
| Professional | $77.27 | $84.26 | $94.85 | |
Cigna
| Professional | $42.58 | $55.53 | $374.72 | |
Kaiser Permanente
| Professional | $118.58 | $214.08 | $214.08 | |
United
| Professional | $44.12 | $73.14 | $206.14 |