| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $64.57 | $151.36 | |
CareFirst
| Professional | $60.26 | $66.07 | $74.13 | |
Cigna
| Professional | $47.86 | $60.26 | $263.03 | |
Kaiser Permanente
| Professional | $52.48 | $64.57 | $87.10 | |
United
| Professional | $47.86 | $67.61 | $158.49 |