| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.64 | $76.65 | $149.80 | |
CareFirst
| Professional | $65.77 | $65.77 | $92.48 | |
Cigna
| Professional | $63.95 | $116.89 | $315.57 | |
Kaiser Permanente
| Professional | $79.73 | $97.04 | $184.55 | |
United
| Professional | $66.01 | $103.49 | $194.14 | |
United
| Professional | 25 | $99.10 | $99.10 | $99.10 |