| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.06 | $330.56 | $4,100.00 | |
Aetna
| Professional | $42.00 | $79.50 | $123.35 | |
CareFirst
| Professional | $46.83 | $49.90 | $660.00 | |
Cigna
| Professional | $41.71 | $106.74 | $230.34 | |
Kaiser Permanente
| Professional | $101.43 | $273.22 | $273.22 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $72.93 | $115.83 | $315.72 |