| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.48 | $271.63 | $3,175.00 | |
Aetna
| Professional | $22.14 | $59.43 | $105.11 | |
CareFirst
| Professional | $30.47 | $30.47 | $264.14 | |
Cigna
| Professional | $24.27 | $72.72 | $142.03 | |
Kaiser Permanente
| Professional | $77.55 | $237.26 | $237.26 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $57.02 | $109.63 | $116.08 |