| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.98 | $64.02 | $68.43 | |
CareFirst
| Professional | $1,369.00 | $1,369.00 | $1,369.00 | |
Cigna
| Facility | $2,652.37 | $2,652.37 | $2,652.37 | |
Kaiser Permanente
| Professional | $46.88 | $60.48 | $140.34 | |
United
| Professional | $22.90 | $54.50 | $122.95 |