| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.24 | $105.88 | $150.61 | |
CareFirst
| Professional | $112.94 | $112.94 | $112.94 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Kaiser Permanente
| Professional | $137.04 | $166.06 | $241.83 | |
United
| Professional | $64.36 | $80.43 | $102.99 |