| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.91 | $199.53 | $269.15 | |
CareFirst
| Professional | $169.82 | $186.21 | $234.42 | |
Cigna
| Professional | $181.97 | $181.97 | $239.88 | |
Kaiser Permanente
| Professional | $177.83 | $199.53 | $407.38 | |
United
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Professional | $158.49 | $218.78 | $457.09 |