| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.63 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $89.27 | $142.49 | $195.26 | |
CareFirst
| Professional | $98.99 | $105.38 | $660.00 | |
Cigna
| Professional | $87.17 | $172.30 | $371.88 | |
Kaiser Permanente
| Professional | $186.14 | $423.11 | $423.11 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $107.51 | $177.73 | $488.93 |