| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.65 | $78.65 | $78.65 | |
CareFirst
| Professional | $263.73 | $293.02 | $372.15 | |
Cigna
| Professional | $68.08 | $124.45 | $492.62 | |
Kaiser Permanente
| Professional | $92.63 | $119.49 | $223.12 | |
United
| Professional | $81.72 | $125.94 | $296.70 |