| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.95 | $75.86 | $109.65 | |
CareFirst
| Professional | $1,819.70 | $2,137.96 | $5,370.32 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
Kaiser Permanente
| Professional | $104.71 | $120.23 | $229.09 | |
United
| Professional | $64.57 | $91.20 | $194.98 |