| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $67.61 | $87.10 | |
CareFirst
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $38.90 | $38.90 | $38.90 | |
Kaiser Permanente
| Professional | $112.20 | $112.20 | $154.88 | |
United
| Professional | $40.74 | $53.70 | $95.50 |