| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $53.70 | $64.57 | |
CareFirst
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $32.36 | $32.36 | $32.36 | |
Kaiser Permanente
| Professional | $75.86 | $89.13 | $125.89 | |
United
| Facility | $89.13 | $89.13 | $89.13 | |
United
| Professional | $28.84 | $43.65 | $58.88 |