| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.73 | $152.83 | $174.28 | |
CareFirst
| Professional | $163.01 | $163.01 | $163.01 | |
Cigna
| Professional | $87.87 | $87.87 | $87.87 | |
Kaiser Permanente
| Professional | $232.70 | $232.70 | $232.70 | |
United
| Professional | $104.82 | $131.15 | $203.90 |