| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.91 | $126.91 | $174.33 | |
CareFirst
| Professional | $116.32 | $129.60 | $660.00 | |
Cigna
| Professional | $113.06 | $156.97 | $427.79 | |
Kaiser Permanente
| Professional | $155.33 | $340.44 | $340.44 | |
United
| Professional | $128.82 | $288.60 | $442.40 |