| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.27 | $71.44 | $85.14 | |
CareFirst
| Professional | $76.20 | $76.20 | $76.20 | |
Cigna
| Professional | $39.15 | $39.15 | $39.15 | |
Kaiser Permanente
| Professional | $108.77 | $108.77 | $108.77 | |
United
| Professional | $48.95 | $54.26 | $95.32 |