| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $58.88 | $72.44 | |
CareFirst
| Professional | $1,380.38 | $1,380.38 | $1,380.38 | |
Cigna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Kaiser Permanente
| Professional | $42.66 | $48.98 | $114.82 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
United
| Professional | $22.91 | $54.95 | $117.49 |