| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.94 | $201.13 | $268.16 | |
CareFirst
| Professional | $214.53 | $214.53 | $214.53 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Kaiser Permanente
| Professional | $269.50 | $315.44 | $459.38 | |
United
| Professional | $133.55 | $152.78 | $230.15 |