| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.41 | $104.34 | $140.24 | |
CareFirst
| Professional | $108.05 | $120.06 | $130.87 | |
Cigna
| Professional | $92.03 | $124.00 | $302.76 | |
Kaiser Permanente
| Professional | $83.64 | $102.94 | $266.77 | |
United
| Professional | $97.09 | $132.33 | $315.75 |