| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.64 | $87.47 | $119.99 | |
CareFirst
| Professional | $93.30 | $93.30 | $93.30 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Kaiser Permanente
| Professional | $113.21 | $137.19 | $199.79 | |
United
| Professional | $51.28 | $66.44 | $95.76 |