| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.20 | $113.75 | $113.75 | |
CareFirst
| Professional | $81.78 | $81.78 | $81.78 | |
Cigna
| Professional | $88.98 | $88.98 | $120.44 | |
Kaiser Permanente
| Professional | $109.49 | $126.78 | $241.89 | |
United
| Professional | $50.62 | $116.97 | $306.32 |