| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $97.72 | $125.89 | |
CareFirst
| Professional | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Kaiser Permanente
| Professional | $128.82 | $128.82 | $181.97 | |
United
| Professional | $58.88 | $63.10 | $109.65 |