| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $107.15 | $257.04 | |
CareFirst
| Professional | $85.11 | $288.40 | $707.95 | |
Cigna
| Professional | $89.13 | $120.23 | $257.04 | |
Kaiser Permanente
| Professional | $128.82 | $147.91 | $288.40 | |
United
| Professional | $85.11 | $117.49 | $251.19 |