| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.32 | $35.47 | $121.90 | |
CareFirst
| Professional | $51.20 | $55.81 | $220.50 | |
Cigna
| Professional | $159.27 | $190.82 | $322.41 | |
Kaiser Permanente
| Professional | $35.88 | $44.33 | $91.11 | |
United
| Professional | $34.76 | $59.62 | $99.25 |