| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $70.79 | $154.88 | |
Aetna
| Professional | 25 | $81.28 | $154.88 | $186.21 |
CareFirst
| Professional | $38.90 | $46.77 | $181.97 | |
Cigna
| Professional | $37.15 | $69.18 | $162.18 | |
Kaiser Permanente
| Professional | $91.20 | $104.71 | $194.98 | |
United
| Professional | $33.11 | $61.66 | $181.97 |