| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $213.80 | $660.69 | |
CareFirst
| Professional | $87.10 | $97.72 | $123.03 | |
Cigna
| Professional | $93.33 | $186.21 | $338.84 | |
Kaiser Permanente
| Professional | $186.21 | $218.78 | $537.03 | |
United
| Professional | $93.33 | $223.87 | $512.86 |