| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.18 | $1,614.00 | $4,100.00 | |
Aetna
| Professional | $100.43 | $160.94 | $223.31 | |
CareFirst
| Professional | $101.78 | $110.78 | $660.00 | |
Cigna
| Professional | $93.56 | $159.61 | $338.09 | |
Kaiser Permanente
| Professional | $172.97 | $393.73 | $393.73 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $135.31 | $179.19 | $453.96 |