| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.81 | $210.34 | $224.92 | |
CareFirst
| Professional | $4,354.00 | $4,354.00 | $4,354.00 | |
Cigna
| Facility | $1,585.53 | $1,585.53 | $1,585.53 | |
Kaiser Permanente
| Professional | $262.73 | $338.78 | $452.02 | |
United
| Professional | $183.56 | $272.43 | $445.13 |