| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.68 | $160.07 | $160.07 | |
CareFirst
| Professional | $204.15 | $271.52 | $916.92 | |
Cigna
| Professional | $145.52 | $425.36 | $822.73 | |
Kaiser Permanente
| Professional | $172.81 | $390.99 | $390.99 | |
United
| Professional | $175.94 | $207.54 | $584.88 |