| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.71 | $144.71 | $144.71 | |
CareFirst
| Professional | $128.99 | $175.05 | $17,986.00 | |
Cigna
| Professional | $116.40 | $153.33 | $289.85 | |
Kaiser Permanente
| Professional | $262.85 | $262.85 | $262.85 | |
United
| Professional | $106.50 | $189.05 | $354.38 |