| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $125.89 | $177.83 | |
CareFirst
| Professional | $104.71 | $354.81 | $831.76 | |
Cigna
| Professional | $120.23 | $186.21 | $363.08 | |
Kaiser Permanente
| Professional | $138.04 | $138.04 | $263.03 | |
United
| Professional | $104.71 | $158.49 | $354.81 |