| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $2,754.23 | $4,073.80 | |
Aetna
| Professional | $128.82 | $162.18 | $467.74 | |
CareFirst
| Professional | $158.49 | $426.58 | $1,258.93 | |
Cigna
| Professional | $151.36 | $177.83 | $416.87 | |
Kaiser Permanente
| Professional | $199.53 | $363.08 | $478.63 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $141.25 | $169.82 | $354.81 |