| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $457.09 | |
Aetna
| Professional | $15.85 | $23.99 | $467.74 | |
CareFirst
| Professional | $12.59 | $14.79 | $16.22 | |
Cigna
| Professional | $12.02 | $45.71 | $501.19 | |
Kaiser Permanente
| Professional | $426.58 | $478.63 | $1,023.29 | |
United
| Facility | $831.76 | $977.24 | $1,122.02 | |
United
| Professional | $19.05 | $61.66 | $398.11 |