| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $173.78 | $426.58 | |
CareFirst
| Professional | $112.20 | $338.84 | $977.24 | |
Cigna
| Professional | $141.25 | $194.98 | $467.74 | |
Kaiser Permanente
| Professional | $204.17 | $213.80 | $467.74 | |
United
| Professional | $125.89 | $186.21 | $398.11 |