| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.84 | $154.54 | $194.99 | |
CareFirst
| Professional | $168.46 | $182.74 | $224.05 | |
Cigna
| Professional | $117.00 | $200.00 | $715.05 | |
Kaiser Permanente
| Professional | $133.72 | $164.58 | $431.14 | |
United
| Professional | $113.08 | $190.23 | $545.97 |