| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.47 | $106.31 | $106.31 | |
CareFirst
| Professional | $113.39 | $113.39 | $113.39 | |
Cigna
| Professional | $58.28 | $58.28 | $58.28 | |
Kaiser Permanente
| Professional | $161.88 | $161.88 | $161.88 | |
United
| Professional | $72.91 | $103.89 | $141.84 |