| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.02 | $1,556.00 | $4,100.00 | |
Aetna
| Professional | $66.47 | $95.60 | $140.94 | |
CareFirst
| Professional | $101.78 | $101.78 | $1,575.00 | |
Cigna
| Professional | $83.15 | $106.87 | $312.79 | |
Kaiser Permanente
| Professional | $125.81 | $274.95 | $274.95 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $77.90 | $137.83 | $348.19 |