| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.77 | $147.15 | $149.65 | |
CareFirst
| Professional | $156.94 | $156.94 | $156.94 | |
Cigna
| Professional | $84.51 | $84.51 | $84.51 | |
Kaiser Permanente
| Professional | $224.05 | $224.05 | $224.05 | |
United
| Professional | $104.79 | $111.78 | $196.32 |