| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.52 | $16.52 | $458.50 | |
Aetna
| Professional | $12.53 | $27.10 | $458.50 | |
CareFirst
| Professional | $12.53 | $13.45 | $13.45 | |
Cigna
| Professional | $12.16 | $45.84 | $1,162.81 | |
Kaiser Permanente
| Professional | $427.52 | $1,031.13 | $1,031.13 | |
United
| Professional | $61.68 | $360.27 | $400.30 |