| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.27 | $2,080.00 | $6,456.00 | |
Aetna
| Professional | $99.81 | $159.32 | $183.31 | |
CareFirst
| Professional | $120.86 | $120.86 | $2,298.00 | |
Cigna
| Professional | $98.60 | $166.50 | $351.24 | |
Kaiser Permanente
| Professional | $206.69 | $404.32 | $481.44 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $144.38 | $212.93 | $521.47 |