| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.55 | $105.55 | $109.77 | |
CareFirst
| Professional | $126.66 | $140.72 | $167.14 | |
Cigna
| Professional | $104.76 | $163.52 | $590.36 | |
Kaiser Permanente
| Professional | $161.84 | $286.06 | $286.06 | |
United
| Professional | $84.44 | $140.72 | $301.99 |