| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.24 | $105.88 | $109.65 | |
CareFirst
| Professional | $112.94 | $112.94 | $112.94 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Kaiser Permanente
| Professional | $161.22 | $161.22 | $161.22 | |
United
| Professional | $72.62 | $80.43 | $141.26 |