| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.51 | $323.39 | $4,100.00 | |
Aetna
| Professional | $51.51 | $93.81 | $126.64 | |
CareFirst
| Professional | $61.95 | $61.95 | $660.00 | |
Cigna
| Professional | $48.24 | $111.91 | $198.82 | |
Kaiser Permanente
| Professional | $120.39 | $273.83 | $273.83 | |
United
| Facility | $165.00 | $549.00 | $5,940.00 | |
United
| Professional | $79.53 | $110.97 | $315.79 |