| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.09 | $33.15 | $33.15 | |
CareFirst
| Professional | $24.12 | $33.14 | $158.40 | |
Cigna
| Professional | $32.20 | $84.63 | $117.60 | |
Kaiser Permanente
| Professional | $42.72 | $46.01 | $96.23 | |
United
| Professional | $23.84 | $46.01 | $99.79 |