| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.67 | $118.40 | $190.95 | |
CareFirst
| Professional | $31.33 | $178.01 | $293.72 | |
Cigna
| Professional | $47.30 | $149.55 | $479.40 | |
Kaiser Permanente
| Professional | $143.01 | $165.59 | $341.51 | |
United
| Professional | $91.95 | $192.51 | $429.43 |