| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.68 | $79.62 | $90.05 | |
CareFirst
| Professional | $52.73 | $59.67 | $248.37 | |
Cigna
| Professional | $62.64 | $104.42 | $211.70 | |
Kaiser Permanente
| Professional | $78.43 | $101.49 | $193.80 | |
United
| Professional | $69.31 | $102.34 | $205.28 |