| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.31 | $114.25 | $276.48 | |
CareFirst
| Professional | $149.10 | $157.30 | $381.53 | |
Cigna
| Professional | $101.23 | $161.54 | $397.17 | |
Kaiser Permanente
| Professional | $126.22 | $266.45 | $314.64 | |
United
| Facility | $95.15 | $95.15 | $95.15 | |
United
| Professional | $95.64 | $127.53 | $371.81 |