| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $53.70 | $61.66 | |
CareFirst
| Professional | $56.23 | $56.23 | $56.23 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Kaiser Permanente
| Professional | $69.18 | $81.28 | $114.82 | |
United
| Facility | $81.28 | $81.28 | $81.28 | |
United
| Professional | $26.92 | $39.81 | $53.70 |