| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.69 | $72.56 | $110.29 | |
CareFirst
| Professional | $72.56 | $72.56 | $74.73 | |
Cigna
| Professional | $60.36 | $76.55 | $186.61 | |
Kaiser Permanente
| Professional | $69.47 | $166.13 | $166.13 | |
United
| Professional | $61.26 | $83.39 | $201.66 |