| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.81 | $107.81 | $112.13 | |
CareFirst
| Professional | $129.38 | $143.75 | $191.19 | |
Cigna
| Professional | $93.92 | $166.85 | $603.16 | |
Kaiser Permanente
| Professional | $165.31 | $292.20 | $292.20 | |
United
| Professional | $86.25 | $112.85 | $320.52 |