| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.72 | $167.82 | $179.44 | |
CareFirst
| Professional | $766.00 | $766.00 | $766.00 | |
Cigna
| Facility | $2,652.37 | $2,652.37 | $2,652.37 | |
Kaiser Permanente
| Professional | $171.33 | $221.02 | $369.95 | |
United
| Professional | $133.32 | $180.38 | $320.49 |