| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.46 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $107.48 | $149.27 | $222.96 | |
CareFirst
| Professional | $114.26 | $123.88 | $660.00 | |
Cigna
| Professional | $103.34 | $160.22 | $374.20 | |
Kaiser Permanente
| Professional | $184.69 | $418.76 | $418.76 | |
United
| Facility | $165.00 | $549.00 | $5,940.00 | |
United
| Professional | $127.00 | $179.59 | $483.91 |