| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.37 | $87.37 | $90.86 | |
CareFirst
| Professional | $104.84 | $116.49 | $154.93 | |
Cigna
| Professional | $86.76 | $135.15 | $489.36 | |
Kaiser Permanente
| Professional | $133.96 | $236.79 | $236.79 | |
United
| Professional | $69.89 | $104.09 | $295.63 |