| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.13 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $62.21 | $82.81 | $116.46 | |
CareFirst
| Professional | $74.03 | $79.72 | $660.00 | |
Cigna
| Professional | $62.99 | $89.68 | $240.88 | |
Kaiser Permanente
| Professional | $103.55 | $233.84 | $233.84 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $58.71 | $95.91 | $270.22 |