| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.04 | $74.84 | $99.80 | |
CareFirst
| Professional | $79.84 | $79.84 | $79.84 | |
Cigna
| Professional | $41.03 | $41.03 | $41.03 | |
Kaiser Permanente
| Professional | $96.87 | $117.39 | $170.96 | |
United
| Professional | $42.65 | $56.86 | $77.09 |