| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $549.54 | $3,548.13 | |
Aetna
| Professional | $123.03 | $190.55 | $436.52 | |
CareFirst
| Professional | $147.91 | $1,659.59 | $4,073.80 | |
Cigna
| Professional | $154.88 | $204.17 | $398.11 | |
Kaiser Permanente
| Professional | $223.87 | $363.08 | $478.63 | |
United
| Facility | $1,023.29 | $6,760.83 | $26,302.68 | |
United
| Professional | $131.83 | $194.98 | $416.87 |