| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.53 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $15.51 | $23.43 | $24.53 | |
CareFirst
| Professional | $18.07 | $18.07 | $1,575.00 | |
Cigna
| Professional | $15.27 | $23.21 | $54.55 | |
Kaiser Permanente
| Professional | $28.80 | $56.59 | $67.38 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $19.27 | $33.11 | $65.39 |