| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $3,388.44 | $6,456.54 | |
Aetna
| Professional | $269.15 | $489.78 | $1,202.26 | |
CareFirst
| Professional | $251.19 | $562.34 | $3,235.94 | |
Cigna
| Professional | $316.23 | $501.19 | $933.25 | |
Kaiser Permanente
| Professional | $489.78 | $676.08 | $1,096.48 | |
United
| Facility | $213.80 | $549.54 | $2,290.87 | |
United
| Professional | $288.40 | $457.09 | $933.25 |