| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.97 | $213.80 | $363.08 | |
CareFirst
| Professional | $251.19 | $275.42 | $602.56 | |
Cigna
| Professional | $194.98 | $275.42 | $741.31 | |
Kaiser Permanente
| Professional | $194.98 | $218.78 | $467.74 | |
United
| Facility | $181.97 | $181.97 | $181.97 | |
United
| Professional | $181.97 | $251.19 | $501.19 |