| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $51.29 | $51.29 | |
Aetna
| Professional | $46.77 | $54.95 | $67.61 | |
CareFirst
| Professional | $53.70 | $72.44 | $158.49 | |
Cigna
| Professional | $57.54 | $72.44 | $239.88 | |
Kaiser Permanente
| Professional | $120.23 | $120.23 | $125.89 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $52.48 | $85.11 | $131.83 |