| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.76 | $3,598.70 | $8,201.34 | |
Aetna
| Professional | $31.09 | $31.09 | $31.09 | |
CareFirst
| Professional | $14.59 | $19.68 | $28.07 | |
Cigna
| Facility | $17.64 | $17.64 | $19.98 | |
Kaiser Permanente
| Professional | $16.98 | $16.98 | $19.98 | |
United
| Professional | $36.47 | $40.09 | $67.20 |