| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.85 | $3,575.00 | $4,601.00 | |
Aetna
| Professional | $210.55 | $284.85 | $385.01 | |
CareFirst
| Professional | $225.42 | $225.42 | $2,116.00 | |
Cigna
| Professional | $205.68 | $322.73 | $748.25 | |
Kaiser Permanente
| Professional | $405.28 | $786.59 | $936.62 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 | |
United
| Professional | $233.14 | $387.59 | $908.97 |