| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.65 | $103.65 | $175.13 | |
CareFirst
| Professional | $119.13 | $137.35 | $1,021.00 | |
Cigna
| Professional | $115.17 | $186.47 | $466.15 | |
Kaiser Permanente
| Professional | $208.41 | $467.81 | $467.81 | |
United
| Professional | $155.44 | $313.95 | $542.96 |