| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $901.43 | $2,464.00 | $6,456.00 | |
Aetna
| Professional | $743.95 | $901.43 | $1,127.53 | |
CareFirst
| Professional | $836.97 | $836.97 | $4,290.00 | |
Cigna
| Professional | $683.96 | $826.11 | $2,317.08 | |
Kaiser Permanente
| Professional | $896.87 | $2,050.61 | $2,050.61 | |
United
| Facility | $1,030.00 | $6,580.00 | $26,408.00 | |
United
| Professional | $657.04 | $937.14 | $2,369.64 |