| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.87 | $147.34 | $147.34 | |
CareFirst
| Professional | $157.15 | $157.15 | $157.15 | |
Cigna
| Professional | $80.93 | $80.93 | $80.93 | |
Kaiser Permanente
| Professional | $224.34 | $224.34 | $224.34 | |
United
| Professional | $101.06 | $118.02 | $196.57 |