| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.75 | $125.10 | $125.10 | |
CareFirst
| Professional | $1,700.00 | $1,700.00 | $1,853.00 | |
Cigna
| Professional | $69.69 | $69.69 | $76.59 | |
Kaiser Permanente
| Professional | $139.22 | $240.14 | $240.14 | |
United
| Professional | $97.30 | $153.55 | $270.44 |