| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.20 | $110.98 | $110.98 | |
CareFirst
| Professional | $82.53 | $82.53 | $87.14 | |
Cigna
| Professional | $64.41 | $93.26 | $254.79 | |
Kaiser Permanente
| Professional | $97.08 | $97.08 | $97.08 | |
United
| Professional | $56.80 | $82.38 | $242.60 |