| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $3,548.13 | $4,570.88 | |
Aetna
| Professional | $104.71 | $165.96 | $416.87 | |
CareFirst
| Professional | $128.82 | $288.40 | $2,454.71 | |
Cigna
| Professional | $128.82 | $169.82 | $346.74 | |
Kaiser Permanente
| Professional | $186.21 | $309.03 | $407.38 | |
United
| Facility | $741.31 | $1,737.80 | $5,128.61 | |
United
| Professional | $109.65 | $165.96 | $363.08 |