| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $319.92 | $579.91 | |
Aetna
| Professional | $118.64 | $118.64 | $159.34 | |
CareFirst
| Professional | $176.35 | $176.35 | $176.35 | |
Cigna
| Professional | $127.75 | $127.75 | $127.75 | |
Kaiser Permanente
| Professional | $188.41 | $188.41 | $575.40 | |
United
| Facility | $424.49 | $424.49 | $424.49 | |
United
| Professional | $96.41 | $144.61 | $225.09 |