| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.20 | $107.15 | $151.36 | |
CareFirst
| Professional | $109.65 | $114.82 | $144.54 | |
Cigna
| Professional | $97.72 | $134.90 | $371.54 | |
Kaiser Permanente
| Professional | $97.72 | $109.65 | $234.42 | |
United
| Facility | $91.20 | $91.20 | $91.20 | |
United
| Professional | $91.20 | $125.89 | $239.88 |