| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.12 | $186.67 | $2,544.00 | |
Aetna
| Professional | $77.62 | $81.66 | $3,566.23 | |
CareFirst
| Professional | $106.16 | $111.15 | $183.40 | |
Cigna
| Professional | $72.37 | $99.41 | $360.78 | |
Kaiser Permanente
| Professional | $78.37 | $92.20 | $190.44 | |
United
| Professional | $56.81 | $79.50 | $229.11 |