| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.45 | $68.51 | $68.51 | |
CareFirst
| Professional | $61.13 | $68.47 | $74.63 | |
Cigna
| Professional | $46.27 | $61.53 | $315.85 | |
Kaiser Permanente
| Professional | $103.73 | $188.70 | $188.70 | |
United
| Professional | $40.93 | $54.57 | $199.20 |