| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.54 | $173.70 | $173.70 | |
CareFirst
| Professional | $192.27 | $192.27 | $198.04 | |
Cigna
| Professional | $149.31 | $172.23 | $527.66 | |
Kaiser Permanente
| Professional | $173.15 | $403.17 | $403.17 | |
United
| Professional | $138.97 | $194.57 | $497.01 |