| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.82 | $3,575.00 | $4,601.00 | |
Aetna
| Professional | $153.59 | $199.21 | $295.27 | |
CareFirst
| Professional | $158.19 | $170.79 | $660.00 | |
Cigna
| Professional | $140.59 | $211.19 | $517.04 | |
Kaiser Permanente
| Professional | $244.26 | $549.60 | $549.60 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $173.05 | $237.25 | $635.11 |