| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.96 | $121.96 | $121.96 | |
CareFirst
| Professional | $393.11 | $486.38 | $617.97 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Kaiser Permanente
| Professional | $248.36 | $248.36 | $248.36 | |
United
| Professional | $101.93 | $233.17 | $334.84 |