| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.56 | $73.73 | $108.52 | |
CareFirst
| Professional | $1,744.00 | $2,002.00 | $3,944.00 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Kaiser Permanente
| Professional | $103.35 | $230.06 | $230.06 | |
United
| Professional | $80.61 | $112.23 | $265.85 |