| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.49 | $3,137.09 | $7,176.88 | |
Aetna
| Professional | $27.86 | $27.86 | $38.26 | |
CareFirst
| Professional | $27.86 | $28.84 | $28.93 | |
Cigna
| Facility | $22.34 | $22.34 | $27.86 | |
Cigna
| Professional | $27.86 | $27.86 | $32.20 | |
Kaiser Permanente
| Professional | $23.68 | $23.68 | $34.32 | |
United
| Professional | $27.86 | $31.01 | $40.92 |