| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.21 | $78.98 | $114.28 | |
CareFirst
| Professional | $84.25 | $84.25 | $84.25 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
Kaiser Permanente
| Professional | $102.23 | $123.88 | $180.41 | |
United
| Professional | $53.35 | $60.00 | $81.34 |