| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.00 | $82.42 | $102.10 | |
CareFirst
| Professional | $87.91 | $87.91 | $87.91 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Kaiser Permanente
| Professional | $125.50 | $125.50 | $125.50 | |
United
| Professional | $49.94 | $62.61 | $109.97 |