| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.78 | $145.49 | $210.57 | |
CareFirst
| Professional | $131.44 | $146.82 | $151.22 | |
Cigna
| Professional | $120.85 | $149.38 | $417.18 | |
Kaiser Permanente
| Professional | $137.81 | $331.47 | $331.47 | |
United
| Professional | $106.55 | $141.22 | $393.77 |