| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.68 | $131.68 | $167.76 | |
CareFirst
| Professional | $118.22 | $137.91 | $1,845.00 | |
Cigna
| Professional | $123.39 | $172.60 | $411.68 | |
Kaiser Permanente
| Professional | $151.06 | $329.40 | $329.40 | |
United
| Professional | $132.81 | $304.72 | $428.05 |