| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.15 | $101.05 | $108.06 | |
CareFirst
| Professional | $68.50 | $68.50 | $87.00 | |
Cigna
| Facility | $330.00 | $330.00 | $641.21 | |
Kaiser Permanente
| Professional | $110.23 | $142.62 | $201.26 | |
United
| Facility | $36.00 | $36.00 | $41.00 | |
United
| Professional | $77.88 | $104.01 | $182.36 |