| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.04 | $74.84 | $75.89 | |
CareFirst
| Professional | $79.84 | $79.84 | $79.84 | |
Cigna
| Professional | $41.03 | $41.03 | $41.03 | |
Kaiser Permanente
| Professional | $113.97 | $113.97 | $113.97 | |
United
| Professional | $51.34 | $59.96 | $99.87 |