| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.85 | $40.85 | $40.85 | |
Aetna
| Professional | $34.93 | $40.85 | $40.85 | |
CareFirst
| Professional | $30.89 | $30.89 | $38.61 | |
Cigna
| Professional | $48.89 | $48.89 | $58.58 | |
Kaiser Permanente
| Professional | $34.25 | $40.85 | $84.15 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $24.92 | $41.54 | $74.26 |