| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $537.03 | $7,762.47 | |
Aetna
| Professional | $120.23 | $177.83 | $371.54 | |
CareFirst
| Professional | $125.89 | $338.84 | $977.24 | |
Cigna
| Professional | $120.23 | $158.49 | $426.58 | |
Kaiser Permanente
| Professional | $154.88 | $165.96 | $338.84 | |
United
| Facility | $213.80 | $549.54 | $1,548.82 | |
United
| Professional | $104.71 | $158.49 | $338.84 |