| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $47.86 | $66.07 | |
CareFirst
| Professional | $41.69 | $45.71 | $56.23 | |
Cigna
| Professional | $48.98 | $75.86 | $120.23 | |
Kaiser Permanente
| Professional | $53.70 | $53.70 | $69.18 | |
United
| Professional | $41.69 | $63.10 | $114.82 |