| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.05 | $76.02 | $192.79 | |
CareFirst
| Professional | $90.00 | $100.00 | $114.30 | |
Cigna
| Professional | $63.51 | $63.51 | $63.51 | |
Kaiser Permanente
| Professional | $80.55 | $96.20 | $142.47 | |
United
| Professional | $109.94 | $199.96 | $391.03 |