| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.47 | $73.25 | $126.00 | |
CareFirst
| Professional | $100.72 | $111.50 | $568.92 | |
Cigna
| Professional | $79.63 | $185.96 | $323.69 | |
Kaiser Permanente
| Professional | $65.79 | $79.63 | $170.60 | |
United
| Professional | $85.26 | $125.20 | $221.93 |