| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.41 | $166.34 | $309.87 | |
CareFirst
| Professional | $113.07 | $147.77 | $1,931.00 | |
Cigna
| Professional | $131.40 | $236.05 | $635.51 | |
Kaiser Permanente
| Professional | $267.02 | $296.77 | $598.42 | |
United
| Professional | $160.09 | $236.05 | $727.46 |