| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.28 | $240.88 | $28,917.90 | |
Aetna
| Professional | $62.10 | $62.10 | $150.28 | |
CareFirst
| Professional | $62.09 | $63.39 | $74.15 | |
Cigna
| Facility | $58.58 | $58.58 | $62.10 | |
Cigna
| Professional | $62.10 | $62.10 | $79.09 | |
Kaiser Permanente
| Professional | $52.79 | $62.10 | $83.47 | |
United
| Professional | $62.10 | $69.13 | $81.36 |