| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.14 | $173.14 | $275.95 | |
CareFirst
| Professional | $140.84 | $176.81 | $660.00 | |
Cigna
| Professional | $163.11 | $287.38 | $544.79 | |
Kaiser Permanente
| Professional | $239.90 | $525.84 | $525.84 | |
United
| Professional | $256.22 | $426.24 | $639.22 |