| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.69 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $69.48 | $115.12 | $164.47 | |
CareFirst
| Professional | $75.62 | $81.34 | $660.00 | |
Cigna
| Professional | $68.95 | $148.54 | $324.77 | |
Kaiser Permanente
| Professional | $160.13 | $364.56 | $364.56 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $104.58 | $158.37 | $421.28 |