| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.09 | $1,556.00 | $4,100.00 | |
Aetna
| Professional | $10.49 | $23.01 | $44.09 | |
CareFirst
| Professional | $21.48 | $21.48 | $334.66 | |
Cigna
| Professional | $16.60 | $31.52 | $95.78 | |
Kaiser Permanente
| Professional | $46.16 | $104.22 | $104.22 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $29.14 | $52.47 | $61.94 |