| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $109.65 | $123.03 | |
CareFirst
| Professional | $120.23 | $123.03 | $147.91 | |
Cigna
| Professional | $41.69 | $67.61 | $575.44 | |
Kaiser Permanente
| Professional | $173.78 | $323.59 | $323.59 | |
United
| Professional | $60.26 | $104.71 | $302.00 |