| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.24 | $451.35 | $3,175.00 | |
Aetna
| Professional | $44.64 | $90.42 | $161.60 | |
CareFirst
| Professional | $39.39 | $39.39 | $660.00 | |
Cigna
| Professional | $41.65 | $90.54 | $225.52 | |
Kaiser Permanente
| Professional | $97.95 | $221.12 | $221.12 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $67.44 | $116.94 | $255.52 |