| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.45 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $34.11 | $64.34 | $111.39 | |
CareFirst
| Professional | $38.72 | $40.39 | $660.00 | |
Cigna
| Professional | $33.76 | $93.72 | $197.28 | |
Kaiser Permanente
| Professional | $82.10 | $247.44 | $247.44 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $60.59 | $107.91 | $304.68 |