| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.85 | $121.13 | $265.13 | |
CareFirst
| Professional | $127.47 | $127.47 | $169.54 | |
Cigna
| Professional | $63.41 | $121.08 | $553.83 | |
Kaiser Permanente
| Professional | $193.97 | $347.21 | $347.21 | |
United
| Professional | $120.67 | $230.39 | $547.14 |