| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $138.04 | $338.84 | |
CareFirst
| Professional | $117.49 | $338.84 | $977.24 | |
Cigna
| Professional | $112.20 | $154.88 | $426.58 | |
Kaiser Permanente
| Professional | $158.49 | $165.96 | $338.84 | |
United
| Professional | $100.00 | $147.91 | $331.13 |