| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $2,137.96 | $4,073.80 | |
Aetna
| Professional | $66.07 | $131.83 | $354.81 | |
CareFirst
| Professional | $63.10 | $288.40 | $977.24 | |
Cigna
| Professional | $75.86 | $144.54 | $288.40 | |
Kaiser Permanente
| Professional | $165.96 | $213.80 | $331.13 | |
United
| Facility | $213.80 | $549.54 | $1,548.82 | |
United
| Professional | $70.79 | $134.90 | $281.84 |