| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.05 | $148.05 | $339.30 | |
CareFirst
| Professional | $101.48 | $143.37 | $1,410.00 | |
Cigna
| Professional | $130.96 | $283.20 | $634.32 | |
Kaiser Permanente
| Professional | $283.43 | $630.55 | $630.55 | |
United
| Professional | $240.53 | $343.28 | $751.29 |