| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $8,317.64 | $15,135.61 | |
Aetna
| Professional | $30.20 | $30.20 | $30.90 | |
CareFirst
| Professional | $42.66 | $48.98 | $100.00 | |
Cigna
| Facility | $24.55 | $30.20 | $30.20 | |
Kaiser Permanente
| Professional | $25.70 | $25.70 | $30.20 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $30.20 | $42.66 | $56.23 |