| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.83 | $107.00 | $107.00 | |
CareFirst
| Professional | $114.13 | $114.13 | $114.13 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
Kaiser Permanente
| Professional | $162.91 | $162.91 | $162.91 | |
United
| Professional | $73.39 | $81.28 | $142.75 |