| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $120.23 | $213.80 | |
CareFirst
| Professional | $52.48 | $57.54 | $93.33 | |
Cigna
| Professional | $27.54 | $51.29 | $218.78 | |
Kaiser Permanente
| Professional | $74.13 | $134.90 | $134.90 | |
United
| Professional | $42.66 | $47.86 | $186.21 |