| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.61 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $71.41 | $89.37 | $96.61 | |
CareFirst
| Professional | $85.91 | $85.91 | $1,021.00 | |
Cigna
| Professional | $81.56 | $90.67 | $247.88 | |
Kaiser Permanente
| Professional | $113.86 | $217.34 | $258.79 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $72.54 | $98.55 | $251.15 |