| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $1,698.24 | $4,073.80 | |
Aetna
| Professional | $77.62 | $107.15 | $616.60 | |
CareFirst
| Professional | $93.33 | $426.58 | $2,041.74 | |
Cigna
| Professional | $85.11 | $114.82 | $245.47 | |
Kaiser Permanente
| Professional | $138.04 | $213.80 | $275.42 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $69.18 | $114.82 | $251.19 |