| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.66 | $606.51 | $896.54 | |
CareFirst
| Professional | $1,369.00 | $1,369.00 | $1,369.00 | |
Cigna
| Facility | $803.63 | $803.63 | $803.63 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
Kaiser Permanente
| Professional | $185.45 | $247.35 | $366.45 | |
United
| Professional | $50.42 | $201.29 | $748.86 |