| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.55 | $125.55 | $173.60 | |
CareFirst
| Professional | $111.58 | $167.92 | $660.00 | |
Cigna
| Professional | $139.71 | $193.27 | $463.44 | |
Kaiser Permanente
| Professional | $209.25 | $468.80 | $468.80 | |
United
| Professional | $156.06 | $323.82 | $544.11 |