| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.50 | $191.63 | $23,313.38 | |
Aetna
| Professional | $50.74 | $50.74 | $50.74 | |
CareFirst
| Professional | $50.43 | $75.77 | $128.12 | |
Cigna
| Facility | $47.87 | $47.87 | $50.74 | |
Kaiser Permanente
| Professional | $43.13 | $43.13 | $50.74 | |
United
| Professional | $50.23 | $50.74 | $65.88 |