| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.92 | $88.01 | $117.34 | |
CareFirst
| Professional | $93.87 | $93.87 | $93.87 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
Kaiser Permanente
| Professional | $113.90 | $138.02 | $201.00 | |
United
| Facility | $134.00 | $134.00 | $134.00 | |
United
| Professional | $50.14 | $66.84 | $85.60 |