| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.55 | $58.56 | $78.08 | |
CareFirst
| Professional | $62.46 | $62.46 | $62.46 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Kaiser Permanente
| Professional | $75.79 | $91.85 | $133.76 | |
United
| Professional | $34.76 | $44.48 | $67.01 |