| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $1,698.24 | $7,762.47 | |
Aetna
| Professional | $51.29 | $107.15 | $251.19 | |
CareFirst
| Professional | $56.23 | $288.40 | $977.24 | |
Cigna
| Professional | $50.12 | $112.20 | $190.55 | |
Kaiser Permanente
| Professional | $120.23 | $141.25 | $275.42 | |
United
| Facility | $213.80 | $549.54 | $1,548.82 | |
United
| Professional | $50.12 | $100.00 | $218.78 |