| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.47 | $106.31 | $141.74 | |
CareFirst
| Professional | $113.39 | $113.39 | $113.39 | |
Cigna
| Professional | $58.28 | $58.28 | $58.28 | |
Kaiser Permanente
| Professional | $137.60 | $166.74 | $242.82 | |
United
| Professional | $60.57 | $80.75 | $121.65 |