| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.46 | $132.71 | $222.92 | |
CareFirst
| Professional | $174.36 | $174.36 | $254.11 | |
Cigna
| Professional | $126.86 | $238.30 | $592.03 | |
Kaiser Permanente
| Professional | $110.81 | $136.86 | $295.95 | |
United
| Professional | $104.28 | $173.63 | $374.79 |