| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.48 | $3,575.00 | $4,467.00 | |
Aetna
| Professional | $73.90 | $103.63 | $154.27 | |
CareFirst
| Professional | $80.15 | $89.01 | $2,116.00 | |
Cigna
| Professional | $74.20 | $122.06 | $282.44 | |
Kaiser Permanente
| Professional | $131.47 | $298.52 | $298.52 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 | |
United
| Professional | $94.53 | $167.11 | $365.90 |