| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $141.25 | $169.82 | |
CareFirst
| Professional | $158.49 | $158.49 | $158.49 | |
Cigna
| Professional | $81.28 | $81.28 | $81.28 | |
Kaiser Permanente
| Professional | $229.09 | $229.09 | $323.59 | |
United
| Professional | $100.00 | $112.20 | $194.98 |