| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.67 | $3,575.00 | $4,601.00 | |
Aetna
| Professional | $143.24 | $203.82 | $252.54 | |
CareFirst
| Professional | $162.54 | $174.94 | $1,410.00 | |
Cigna
| Professional | $140.63 | $215.88 | $529.10 | |
Kaiser Permanente
| Professional | $245.94 | $555.62 | $555.62 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 | |
United
| Professional | $174.19 | $238.11 | $642.05 |