| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.25 | $662.65 | $3,175.00 | |
Aetna
| Professional | $1.98 | $6.73 | $19.67 | |
Aetna
| Professional | 52 | $0.99 | $1.12 | $3.53 |
CareFirst
| Professional | $2.08 | $2.20 | $596.00 | |
Cigna
| Professional | $1.84 | $6.07 | $15.55 | |
Kaiser Permanente
| Professional | $6.90 | $15.77 | $15.77 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $5.62 | $7.10 | $18.23 |