| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.53 | $2,036.00 | $4,601.00 | |
Aetna
| Professional | $24.47 | $32.53 | $78.72 | |
CareFirst
| Professional | $25.62 | $25.80 | $660.00 | |
Cigna
| Professional | $24.58 | $53.86 | $88.24 | |
Kaiser Permanente
| Professional | $55.21 | $72.95 | $72.95 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $30.14 | $56.13 | $90.43 |