| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.80 | $1,614.00 | $4,536.00 | |
Aetna
| Professional | $43.10 | $57.50 | $94.46 | |
CareFirst
| Professional | $57.40 | $57.40 | $1,575.00 | |
Cigna
| Professional | $46.55 | $63.94 | $181.42 | |
Kaiser Permanente
| Professional | $75.43 | $166.93 | $166.93 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $54.19 | $74.30 | $192.90 |