| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.47 | $66.65 | $117.59 | |
Aetna
| Professional | 25 | $65.68 | $106.92 | $106.92 |
CareFirst
| Professional | $76.40 | $76.51 | $221.46 | |
Cigna
| Professional | $57.88 | $108.72 | $168.88 | |
Kaiser Permanente
| Professional | $74.23 | $155.30 | $155.30 | |
United
| Professional | $49.36 | $79.40 | $163.77 |