| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.14 | $3,575.00 | $4,601.00 | |
Aetna
| Professional | $84.75 | $138.69 | $200.48 | |
CareFirst
| Professional | $83.25 | $83.25 | $1,575.00 | |
Cigna
| Professional | $89.93 | $168.42 | $353.69 | |
Kaiser Permanente
| Professional | $184.38 | $412.05 | $412.05 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $134.94 | $201.34 | $476.16 |