| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $57.54 | $79.43 | |
CareFirst
| Professional | $60.26 | $63.10 | $79.43 | |
Cigna
| Professional | $53.70 | $77.62 | $154.88 | |
Kaiser Permanente
| Professional | $52.48 | $60.26 | $128.82 | |
United
| Facility | $52.48 | $52.48 | $52.48 | |
United
| Professional | $52.48 | $72.44 | $134.90 |