| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $151.36 | $181.97 | |
CareFirst
| Professional | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $87.10 | $87.10 | $87.10 | |
Kaiser Permanente
| Professional | $199.53 | $239.88 | $331.13 | |
United
| Facility | $239.88 | $239.88 | $239.88 | |
United
| Professional | $91.20 | $114.82 | $165.96 |