| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.73 | $150.69 | $173.61 | |
CareFirst
| Professional | $127.50 | $141.66 | $188.42 | |
Cigna
| Professional | $138.18 | $315.52 | $481.87 | |
Kaiser Permanente
| Professional | $101.65 | $138.35 | $365.03 | |
United
| Professional | $135.88 | $388.93 | $462.26 |