| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.92 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $119.59 | $157.80 | $207.52 | |
CareFirst
| Professional | $112.75 | $112.75 | $1,021.00 | |
Cigna
| Professional | $115.27 | $155.09 | $362.04 | |
Kaiser Permanente
| Professional | $173.38 | $386.03 | $386.03 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $127.97 | $174.04 | $446.09 |