| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $45.30 | $93.20 | |
Aetna
| Professional | 25 | $64.63 | $68.34 | $77.09 |
CareFirst
| Professional | $35.11 | $40.31 | $170.25 | |
Cigna
| Professional | $39.24 | $72.04 | $225.52 | |
Kaiser Permanente
| Professional | $92.86 | $107.53 | $206.89 | |
United
| Professional | $53.28 | $74.20 | $231.53 |