| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $181.97 | $489.78 | |
CareFirst
| Professional | $138.04 | $151.36 | $616.60 | |
Cigna
| Professional | $134.90 | $190.55 | $380.19 | |
Kaiser Permanente
| Professional | $131.83 | $154.88 | $295.12 | |
United
| Professional | $128.82 | $165.96 | $331.13 |