| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $112.20 | $131.83 | |
CareFirst
| Professional | $120.23 | $131.83 | $144.54 | |
Cigna
| Professional | $102.33 | $120.23 | $245.47 | |
Kaiser Permanente
| Professional | $123.03 | $144.54 | $275.42 | |
United
| Professional | $72.44 | $100.00 | $263.03 |