| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $954.99 | $3,162.28 | |
Aetna
| Facility | 50 | $676.08 | $1,288.25 | $1,949.84 |
Aetna
| Professional | $36.31 | $69.18 | $162.18 | |
Aetna
| Professional | 50 | $79.43 | $131.83 | $229.09 |
CareFirst
| Professional | $41.69 | $288.40 | $977.24 | |
Cigna
| Professional | $37.15 | $85.11 | $141.25 | |
Kaiser Permanente
| Professional | $61.66 | $83.18 | $128.82 | |
United
| Facility | $213.80 | $549.54 | $1,737.80 | |
United
| Professional | $34.67 | $63.10 | $114.82 |