| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $239.88 | $2,754.23 | |
Aetna
| Professional | $53.70 | $77.62 | $154.88 | |
CareFirst
| Professional | $74.13 | $151.36 | $501.19 | |
Cigna
| Professional | $60.26 | $77.62 | $269.15 | |
Kaiser Permanente
| Professional | $109.65 | $109.65 | $169.82 | |
United
| Facility | $69.18 | $107.15 | $107.15 | |
United
| Professional | $69.18 | $97.72 | $223.87 |