| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.86 | $898.75 | $3,175.00 | |
Aetna
| Professional | $21.03 | $45.06 | $86.02 | |
CareFirst
| Professional | $22.55 | $24.05 | $596.00 | |
Cigna
| Professional | $19.67 | $47.62 | $101.16 | |
Kaiser Permanente
| Professional | $48.89 | $118.26 | $118.26 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $40.61 | $57.63 | $136.66 |