| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.90 | $82.23 | $109.63 | |
CareFirst
| Professional | $87.70 | $87.70 | $87.70 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
Kaiser Permanente
| Professional | $106.42 | $128.96 | $187.80 | |
United
| Professional | $48.01 | $62.46 | $94.08 |