| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.63 | $160.63 | $266.98 | |
CareFirst
| Professional | $128.84 | $173.45 | $660.00 | |
Cigna
| Professional | $154.44 | $256.92 | $549.69 | |
Kaiser Permanente
| Professional | $258.04 | $551.05 | $551.05 | |
United
| Professional | $222.33 | $533.66 | $642.50 |