| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.89 | $116.64 | $127.72 | |
CareFirst
| Professional | $91.51 | $120.88 | $188.43 | |
Cigna
| Professional | $106.22 | $142.44 | $300.74 | |
Kaiser Permanente
| Professional | $106.22 | $111.81 | $245.14 | |
United
| Professional | $95.71 | $127.14 | $258.27 |