| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.39 | $75.01 | $4,100.00 | |
Aetna
| Professional | $14.82 | $18.38 | $24.73 | |
CareFirst
| Professional | $16.89 | $17.72 | $596.00 | |
Cigna
| Professional | $14.81 | $17.32 | $47.02 | |
Kaiser Permanente
| Professional | $18.86 | $41.67 | $41.67 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $13.40 | $20.54 | $48.15 |