| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.18 | $140.37 | $336.89 | |
Aetna
| Professional | 25 | $125.60 | $142.27 | $448.15 |
CareFirst
| Professional | $121.56 | $121.56 | $161.66 | |
Cigna
| Professional | $116.36 | $116.36 | $153.83 | |
Kaiser Permanente
| Professional | $135.16 | $156.50 | $297.61 | |
United
| Professional | $91.17 | $126.72 | $307.92 |