| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.59 | $82.00 | $198.43 | |
CareFirst
| Professional | $54.79 | $84.88 | $126.38 | |
Cigna
| Professional | $66.45 | $98.71 | $210.89 | |
Kaiser Permanente
| Professional | $74.19 | $78.09 | $171.42 | |
United
| Professional | $64.63 | $84.63 | $192.78 |