| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.43 | $135.12 | $240.11 | |
CareFirst
| Professional | $147.69 | $150.77 | $660.00 | |
Cigna
| Professional | $122.50 | $218.52 | $499.77 | |
Kaiser Permanente
| Professional | $235.83 | $537.14 | $537.14 | |
United
| Professional | $170.56 | $249.93 | $696.58 |