| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.79 | $90.04 | $136.72 | |
CareFirst
| Professional | $115.10 | $115.10 | $243.10 | |
Cigna
| Professional | $75.00 | $110.88 | $267.89 | |
Kaiser Permanente
| Professional | $71.89 | $104.70 | $223.56 | |
United
| Professional | $80.88 | $109.21 | $243.00 |