| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.14 | $114.99 | $144.12 | |
CareFirst
| Professional | $77.62 | $91.37 | $121.52 | |
Cigna
| Professional | $73.14 | $176.70 | $331.32 | |
Kaiser Permanente
| Professional | $143.04 | $258.60 | $258.60 | |
United
| Professional | $91.23 | $144.46 | $313.56 |