| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.29 | $2,023.50 | $4,100.00 | |
Aetna
| Professional | $83.60 | $126.69 | $208.40 | |
CareFirst
| Professional | $102.97 | $102.97 | $2,116.00 | |
Cigna
| Professional | $85.85 | $150.15 | $306.45 | |
Kaiser Permanente
| Professional | $189.43 | $367.70 | $437.83 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 | |
United
| Professional | $113.22 | $158.53 | $424.90 |