| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.64 | $112.85 | $232.12 | |
Aetna
| Professional | 25 | $25.98 | $129.90 | $166.75 |
CareFirst
| Professional | $128.80 | $128.80 | $256.91 | |
Cigna
| Professional | $101.55 | $184.98 | $284.31 | |
Kaiser Permanente
| Professional | $126.62 | $264.05 | $264.05 | |
United
| Professional | $88.83 | $143.78 | $278.45 |