| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $2,238.72 | $4,570.88 | |
Aetna
| Professional | $616.60 | $776.25 | $1,949.84 | |
CareFirst
| Professional | $645.65 | $1,659.59 | $6,456.54 | |
Cigna
| Professional | $660.69 | $851.14 | $1,778.28 | |
Kaiser Permanente
| Professional | $933.25 | $1,737.80 | $2,344.23 | |
United
| Facility | $3,311.31 | $14,791.08 | $26,915.35 | |
United
| Professional | $645.65 | $812.83 | $1,819.70 |