| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $2,137.96 | $4,570.88 | |
Aetna
| Professional | $43.65 | $89.13 | $269.15 | |
CareFirst
| Professional | $41.69 | $61.66 | $2,344.23 | |
Cigna
| Professional | $41.69 | $104.71 | $251.19 | |
Kaiser Permanente
| Professional | $102.33 | $109.65 | $257.04 | |
United
| Facility | $213.80 | $549.54 | $1,737.80 | |
United
| Professional | $42.66 | $102.33 | $239.88 |