| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.14 | $118.48 | $20,242.59 | |
Aetna
| Professional | $31.09 | $31.09 | $31.09 | |
CareFirst
| Professional | $31.09 | $49.35 | $83.45 | |
Cigna
| Facility | $29.33 | $29.33 | $31.09 | |
Kaiser Permanente
| Professional | $26.43 | $26.43 | $31.09 | |
United
| Professional | $28.29 | $31.09 | $50.58 |