| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.07 | $94.05 | $167.20 | |
CareFirst
| Professional | $100.32 | $100.32 | $100.32 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
Kaiser Permanente
| Professional | $121.73 | $147.51 | $214.82 | |
United
| Professional | $64.51 | $71.45 | $103.68 |