| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.45 | $239.91 | $484.91 | |
Aetna
| Professional | 25 | $45.05 | $225.23 | $424.63 |
CareFirst
| Professional | $259.20 | $259.20 | $644.40 | |
Cigna
| Professional | $191.26 | $302.48 | $674.21 | |
Kaiser Permanente
| Professional | $281.73 | $467.13 | $617.96 | |
United
| Professional | $208.36 | $294.91 | $641.10 |