| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.54 | $1,556.00 | $4,100.00 | |
Aetna
| Professional | $91.68 | $128.56 | $190.31 | |
CareFirst
| Professional | $97.93 | $107.60 | $660.00 | |
Cigna
| Professional | $87.18 | $135.38 | $324.68 | |
Kaiser Permanente
| Professional | $156.24 | $351.80 | $351.80 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $107.04 | $147.91 | $406.53 |