| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.15 | $249.29 | $270.42 | |
CareFirst
| Professional | $187.70 | $244.18 | $1,164.78 | |
Cigna
| Professional | $261.29 | $535.24 | $1,178.33 | |
Kaiser Permanente
| Professional | $250.59 | $307.39 | $620.44 | |
United
| Professional | $64.84 | $111.79 | $626.34 |