| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.04 | $1,535.00 | $3,175.00 | |
Aetna
| Professional | $165.71 | $222.36 | $344.67 | |
CareFirst
| Professional | $149.37 | $149.37 | $660.00 | |
Cigna
| Professional | $159.82 | $270.58 | $561.88 | |
Kaiser Permanente
| Professional | $291.75 | $666.20 | $666.20 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $202.57 | $277.72 | $769.84 |