| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.04 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $118.73 | $163.26 | $245.19 | |
CareFirst
| Professional | $126.58 | $136.80 | $660.00 | |
Cigna
| Professional | $113.92 | $173.44 | $412.32 | |
Kaiser Permanente
| Professional | $200.14 | $452.30 | $452.30 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $142.04 | $197.61 | $522.66 |