| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.46 | $48.52 | $641.97 | |
Aetna
| Professional | $37.46 | $48.52 | $80.55 | |
CareFirst
| Professional | $45.43 | $45.43 | $444.77 | |
Cigna
| Professional | $45.78 | $80.37 | $193.06 | |
Kaiser Permanente
| Professional | $47.81 | $56.00 | $115.56 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $43.41 | $82.00 | $146.34 |