| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.02 | $86.34 | $130.00 | |
CareFirst
| Professional | $110.87 | $110.87 | $147.46 | |
Cigna
| Professional | $70.38 | $98.00 | $256.83 | |
Kaiser Permanente
| Professional | $68.95 | $84.86 | $213.27 | |
United
| Professional | $82.51 | $105.14 | $240.37 |