| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.73 | $152.83 | $203.76 | |
CareFirst
| Professional | $163.01 | $163.01 | $163.01 | |
Cigna
| Professional | $87.87 | $87.87 | $87.87 | |
Kaiser Permanente
| Professional | $197.80 | $239.68 | $349.05 | |
United
| Professional | $91.33 | $116.09 | $148.63 |