| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.41 | $334.21 | $357.37 | |
CareFirst
| Professional | $6,026.00 | $6,026.00 | $6,026.00 | |
Cigna
| Facility | $4,604.55 | $4,604.55 | $4,604.55 | |
Kaiser Permanente
| Professional | $295.60 | $453.25 | $591.19 | |
United
| Professional | $44.68 | $58.88 | $103.14 |