| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.02 | $182.51 | $16,222.05 | |
Aetna
| Professional | $48.96 | $48.96 | $48.96 | |
CareFirst
| Professional | $48.03 | $77.17 | $130.49 | |
Cigna
| Facility | $46.19 | $46.19 | $48.96 | |
Kaiser Permanente
| Professional | $41.62 | $41.62 | $48.96 | |
United
| Professional | $48.47 | $48.96 | $63.57 |