| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,862.09 | $4,073.80 | |
Aetna
| Professional | $125.89 | $199.53 | $537.03 | |
CareFirst
| Professional | $141.25 | $1,202.26 | $5,495.41 | |
Cigna
| Professional | $144.54 | $186.21 | $380.19 | |
Kaiser Permanente
| Professional | $204.17 | $338.84 | $457.09 | |
United
| Facility | $741.31 | $1,737.80 | $5,128.61 | |
United
| Professional | $123.03 | $181.97 | $398.11 |