| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.03 | $111.65 | $111.65 | |
CareFirst
| Professional | $111.32 | $111.32 | $148.06 | |
Cigna
| Professional | $86.90 | $86.90 | $116.07 | |
Kaiser Permanente
| Professional | $100.91 | $116.84 | $221.38 | |
United
| Professional | $70.47 | $95.34 | $222.01 |