| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.90 | $82.23 | $94.62 | |
CareFirst
| Professional | $87.70 | $87.70 | $87.70 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
Kaiser Permanente
| Professional | $125.20 | $125.20 | $125.20 | |
United
| Professional | $56.39 | $62.46 | $109.71 |