| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.01 | $82.43 | $88.41 | |
CareFirst
| Professional | $87.93 | $87.93 | $87.93 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Kaiser Permanente
| Professional | $125.52 | $125.52 | $125.52 | |
United
| Professional | $56.54 | $70.75 | $109.99 |