| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.64 | $87.47 | $87.47 | |
CareFirst
| Professional | $93.30 | $93.30 | $93.30 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Kaiser Permanente
| Professional | $133.19 | $133.19 | $133.19 | |
United
| Professional | $59.99 | $66.44 | $116.71 |