| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.64 | $683.72 | $3,175.00 | |
Aetna
| Professional | $36.25 | $83.50 | $128.97 | |
CareFirst
| Professional | $38.72 | $41.42 | $660.00 | |
Cigna
| Professional | $34.40 | $94.76 | $187.97 | |
Kaiser Permanente
| Professional | $84.19 | $237.44 | $237.44 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $75.38 | $103.03 | $274.38 |