| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.50 | $103.07 | $103.07 | |
CareFirst
| Professional | $91.51 | $101.68 | $167.77 | |
Cigna
| Professional | $116.87 | $313.93 | $503.96 | |
Kaiser Permanente
| Professional | $107.08 | $243.03 | $243.03 | |
United
| Professional | $77.08 | $145.43 | $307.76 |