| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.23 | $562.15 | $3,000.00 | |
Aetna
| Professional | $115.23 | $127.04 | $159.02 | |
CareFirst
| Professional | $207.70 | $230.77 | $270.01 | |
Cigna
| Professional | $99.04 | $158.51 | $365.25 | |
Kaiser Permanente
| Professional | $121.64 | $165.18 | $282.99 | |
United
| Facility | $235.18 | $235.18 | $235.18 | |
United
| Professional | $98.66 | $143.63 | $255.22 |