| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $134.90 | $316.23 | |
CareFirst
| Professional | $93.33 | $123.03 | $977.24 | |
Cigna
| Professional | $107.15 | $204.17 | $346.74 | |
Kaiser Permanente
| Professional | $165.96 | $245.47 | $331.13 | |
United
| Professional | $95.50 | $173.78 | $316.23 |