| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.69 | $1,752.86 | $6,451.36 | |
Aetna
| Professional | $89.34 | $89.34 | $89.34 | |
CareFirst
| Professional | $58.40 | $85.82 | $145.11 | |
Cigna
| Facility | $84.29 | $84.29 | $89.34 | |
Kaiser Permanente
| Professional | $75.94 | $75.94 | $89.34 | |
United
| Professional | $88.45 | $94.70 | $131.22 |