| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.91 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $64.91 | $109.47 | $186.32 | |
CareFirst
| Professional | $64.83 | $64.83 | $660.00 | |
Cigna
| Professional | $67.80 | $126.71 | $279.06 | |
Kaiser Permanente
| Professional | $138.52 | $309.80 | $309.80 | |
United
| Facility | $165.00 | $549.00 | $5,940.00 | |
United
| Professional | $79.45 | $146.50 | $358.00 |