| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.92 | $42.65 | $70.61 | |
CareFirst
| Professional | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $44.52 | $53.34 | $90.44 | |
Kaiser Permanente
| Professional | $32.45 | $49.10 | $131.62 | |
United
| Professional | $53.75 | $81.88 | $158.10 |