| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $112.20 | $134.90 | |
Aetna
| Professional | $44.67 | $53.70 | $398.11 | |
CareFirst
| Professional | $51.29 | $67.61 | $147.91 | |
Cigna
| Professional | $53.70 | $70.79 | $229.09 | |
Kaiser Permanente
| Professional | $112.20 | $112.20 | $117.49 | |
United
| Facility | $165.96 | $549.54 | $12,302.69 | |
United
| Professional | $51.29 | $79.43 | $128.82 |