| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.38 | $360.92 | $3,175.00 | |
Aetna
| Professional | $51.64 | $69.92 | $104.76 | |
CareFirst
| Professional | $58.64 | $63.08 | $660.00 | |
Cigna
| Professional | $49.35 | $65.87 | $179.28 | |
Kaiser Permanente
| Professional | $70.70 | $158.88 | $158.88 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $49.58 | $73.97 | $183.59 |