| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $40.74 | $109.65 | |
CareFirst
| Professional | $51.29 | $72.44 | $316.23 | |
Cigna
| Professional | $158.49 | $169.82 | $199.53 | |
Kaiser Permanente
| Professional | $37.15 | $45.71 | $91.20 | |
United
| Professional | $33.88 | $57.54 | $97.72 |