| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.73 | $112.73 | $117.23 | |
CareFirst
| Professional | $135.27 | $150.30 | $199.90 | |
Cigna
| Professional | $109.53 | $174.78 | $631.61 | |
Kaiser Permanente
| Professional | $172.85 | $305.51 | $305.51 | |
United
| Professional | $90.18 | $120.24 | $373.67 |