| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $57.54 | $69.18 | |
CareFirst
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $33.11 | $33.11 | $33.11 | |
Kaiser Permanente
| Professional | $77.62 | $91.20 | $128.82 | |
United
| Facility | $91.20 | $91.20 | $91.20 | |
United
| Professional | $29.51 | $44.67 | $60.26 |