| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.65 | $72.15 | $96.20 | |
CareFirst
| Professional | $76.95 | $76.95 | $76.95 | |
Cigna
| Professional | $43.93 | $43.93 | $43.93 | |
Kaiser Permanente
| Professional | $93.38 | $113.16 | $164.79 | |
United
| Professional | $45.66 | $54.81 | $74.30 |