| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.05 | $1,556.00 | $4,100.00 | |
Aetna
| Professional | $84.82 | $121.87 | $184.99 | |
CareFirst
| Professional | $89.91 | $98.37 | $660.00 | |
Cigna
| Professional | $80.87 | $134.06 | $294.07 | |
Kaiser Permanente
| Professional | $154.19 | $349.97 | $349.97 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $104.88 | $165.91 | $404.42 |