| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.59 | $157.82 | $235.23 | |
CareFirst
| Professional | $160.69 | $160.69 | $160.69 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
Kaiser Permanente
| Professional | $194.98 | $236.27 | $344.09 | |
United
| Professional | $103.33 | $114.44 | $169.67 |