| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $93.33 | $338.84 | |
CareFirst
| Professional | $87.10 | $97.72 | $109.65 | |
Cigna
| Professional | $70.79 | $87.10 | $380.19 | |
Kaiser Permanente
| Professional | $75.86 | $93.33 | $128.82 | |
United
| Professional | $70.79 | $97.72 | $229.09 |