| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.21 | $77.06 | $77.06 | |
CareFirst
| Professional | $82.21 | $82.21 | $82.21 | |
Cigna
| Professional | $42.25 | $42.25 | $42.25 | |
Kaiser Permanente
| Professional | $117.35 | $117.35 | $117.35 | |
United
| Professional | $39.03 | $58.55 | $102.83 |