| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.97 | $74.69 | $92.95 | |
CareFirst
| Professional | $79.67 | $79.67 | $79.67 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
Kaiser Permanente
| Professional | $113.73 | $113.73 | $113.73 | |
United
| Professional | $51.23 | $56.74 | $99.65 |