| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.37 | $92.71 | $164.81 | |
CareFirst
| Professional | $98.89 | $98.89 | $98.89 | |
Cigna
| Professional | $67.76 | $67.76 | $67.76 | |
Kaiser Permanente
| Professional | $119.99 | $148.22 | $211.74 | |
United
| Professional | $63.59 | $70.42 | $102.44 |