| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.24 | $199.00 | $199.00 | |
CareFirst
| Professional | $169.27 | $169.27 | $211.59 | |
Cigna
| Professional | $167.84 | $167.84 | $217.43 | |
Kaiser Permanente
| Professional | $190.35 | $210.39 | $419.10 | |
United
| Facility | $152.69 | $152.69 | $152.69 | |
United
| Professional | $149.18 | $229.05 | $516.99 |