| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.20 | $43.64 | $60.04 | |
CareFirst
| Professional | $30.74 | $30.74 | $40.88 | |
Cigna
| Professional | $50.89 | $50.89 | $67.58 | |
Kaiser Permanente
| Professional | $52.97 | $68.55 | $134.38 | |
United
| Professional | $55.64 | $78.06 | $170.17 |