| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.43 | $314.10 | $2,938.20 | |
Aetna
| Professional | $54.43 | $107.81 | $179.25 | |
CareFirst
| Professional | $49.13 | $49.13 | $660.00 | |
Cigna
| Professional | $52.09 | $108.43 | $238.80 | |
Kaiser Permanente
| Professional | $117.07 | $262.50 | $262.50 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $103.42 | $123.82 | $303.33 |