| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.00 | $125.35 | $303.33 | |
CareFirst
| Professional | $158.76 | $158.76 | $417.12 | |
Cigna
| Professional | $111.47 | $177.89 | $431.94 | |
Kaiser Permanente
| Professional | $139.00 | $293.16 | $346.19 | |
United
| Professional | $105.32 | $150.27 | $409.08 |