| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.02 | $310.38 | $754.48 | |
Aetna
| Facility | 52 | $39.65 | $90.54 | $377.24 |
Aetna
| Professional | $79.31 | $168.63 | $222.09 | |
CareFirst
| Professional | $82.69 | $86.59 | $880.57 | |
Cigna
| Professional | $85.52 | $189.10 | $465.69 | |
Kaiser Permanente
| Professional | $150.22 | $176.73 | $376.96 | |
United
| Professional | $158.28 | $214.60 | $446.25 |