| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $107.15 | $169.82 | |
CareFirst
| Professional | $79.43 | $87.10 | $97.72 | |
Cigna
| Professional | $83.18 | $120.23 | $245.47 | |
Kaiser Permanente
| Professional | $125.89 | $147.91 | $281.84 | |
United
| Professional | $75.86 | $104.71 | $263.03 |