| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.13 | $184.26 | $245.67 | |
CareFirst
| Professional | $196.54 | $196.54 | $196.54 | |
Cigna
| Professional | $108.53 | $108.53 | $108.53 | |
Kaiser Permanente
| Professional | $238.48 | $288.98 | $420.84 | |
United
| Professional | $112.80 | $139.97 | $210.84 |