| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.03 | $160.03 | $342.30 | |
CareFirst
| Professional | $130.97 | $143.77 | $1,575.00 | |
Cigna
| Professional | $140.91 | $291.62 | $635.25 | |
Kaiser Permanente
| Professional | $287.43 | $644.98 | $644.98 | |
United
| Professional | $252.29 | $401.99 | $768.47 |