| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.25 | $114.42 | $216.42 | |
CareFirst
| Professional | $100.21 | $100.21 | $1,686.00 | |
Cigna
| Professional | $91.60 | $179.24 | $467.09 | |
Kaiser Permanente
| Professional | $184.46 | $204.53 | $415.04 | |
United
| Professional | $129.79 | $189.54 | $504.53 |