| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.94 | $201.13 | $247.63 | |
CareFirst
| Professional | $214.53 | $214.53 | $214.53 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Kaiser Permanente
| Professional | $306.25 | $306.25 | $306.25 | |
United
| Professional | $143.24 | $152.78 | $268.33 |