| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.82 | $82.08 | $121.97 | |
CareFirst
| Professional | $87.54 | $87.54 | $87.54 | |
Cigna
| Professional | $51.66 | $51.66 | $51.66 | |
Kaiser Permanente
| Professional | $124.97 | $124.97 | $124.97 | |
United
| Professional | $56.29 | $62.35 | $109.50 |