| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $91.20 | $263.03 | |
CareFirst
| Professional | $95.50 | $295.12 | $331.13 | |
Cigna
| Professional | $67.61 | $123.03 | $489.78 | |
Kaiser Permanente
| Professional | $100.00 | $123.03 | $229.09 | |
United
| Facility | $63.10 | $85.11 | $151.36 | |
United
| Professional | $81.28 | $144.54 | $295.12 |