| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.46 | $2,729.21 | $17,786.79 | |
Aetna
| Professional | $139.46 | $139.46 | $142.53 | |
CareFirst
| Professional | $146.06 | $146.62 | $178.85 | |
Cigna
| Professional | $166.41 | $166.41 | $166.41 | |
Kaiser Permanente
| Professional | $170.06 | $170.06 | $519.35 | |
United
| Professional | $87.02 | $130.52 | $184.91 |