| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.89 | $97.78 | $117.11 | |
CareFirst
| Professional | $118.03 | $131.15 | $142.94 | |
Cigna
| Professional | $103.38 | $202.30 | $313.83 | |
Kaiser Permanente
| Professional | $72.34 | $105.73 | $231.99 | |
United
| Professional | $88.35 | $217.40 | $299.11 |