| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $194.98 | $512.86 | |
CareFirst
| Professional | $114.82 | $363.08 | $416.87 | |
Cigna
| Professional | $120.23 | $120.23 | $147.91 | |
Kaiser Permanente
| Professional | $794.33 | $794.33 | $794.33 | |
United
| Facility | $60.26 | $66.07 | $66.07 |