| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $1,047.13 | $1,122.02 | |
Aetna
| Professional | $30.20 | $57.54 | $1,071.52 | |
CareFirst
| Professional | $3.16 | $3.72 | $6.92 | |
Cigna
| Professional | $416.87 | $645.65 | $891.25 | |
Kaiser Permanente
| Professional | $416.87 | $707.95 | $758.58 | |
United
| Professional | $45.71 | $67.61 | $100.00 |