| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.38 | $186.24 | $186.24 | |
CareFirst
| Professional | $189.66 | $262.44 | $975.57 | |
Cigna
| Professional | $161.47 | $444.36 | $727.94 | |
Kaiser Permanente
| Professional | $177.42 | $484.96 | $484.96 | |
United
| Professional | $172.57 | $268.52 | $725.45 |