| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.05 | $104.02 | $104.02 | |
CareFirst
| Professional | $89.04 | $102.67 | $105.75 | |
Cigna
| Professional | $82.95 | $104.54 | $250.29 | |
Kaiser Permanente
| Professional | $104.06 | $244.35 | $244.35 | |
United
| Professional | $73.22 | $117.23 | $292.45 |