| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.70 | $167.72 | $239.38 | |
CareFirst
| Professional | $180.58 | $182.47 | $2,244.00 | |
Cigna
| Professional | $163.15 | $290.43 | $646.91 | |
Kaiser Permanente
| Professional | $367.98 | $527.69 | $527.69 | |
United
| Professional | $167.45 | $294.48 | $638.89 |