| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.95 | $93.83 | $121.44 | |
CareFirst
| Professional | $100.08 | $100.08 | $100.08 | |
Cigna
| Professional | $58.29 | $58.29 | $58.29 | |
Kaiser Permanente
| Professional | $142.87 | $142.87 | $142.87 | |
United
| Professional | $67.09 | $72.86 | $125.19 |