| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.08 | $168.83 | $206.02 | |
CareFirst
| Professional | $180.08 | $180.08 | $180.08 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
Kaiser Permanente
| Professional | $257.06 | $257.06 | $257.06 | |
United
| Professional | $115.81 | $128.25 | $225.25 |