| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $64.57 | $81.28 | |
CareFirst
| Professional | $74.13 | $74.13 | $74.13 | |
Cigna
| Professional | $38.02 | $38.02 | $38.02 | |
Kaiser Permanente
| Professional | $91.20 | $107.15 | $151.36 | |
United
| Facility | $107.15 | $107.15 | $107.15 | |
United
| Professional | $34.67 | $52.48 | $70.79 |