| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.84 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $102.79 | $139.44 | $209.63 | |
CareFirst
| Professional | $108.16 | $117.94 | $660.00 | |
Cigna
| Professional | $98.19 | $149.99 | $357.33 | |
Kaiser Permanente
| Professional | $173.00 | $390.56 | $390.56 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $121.28 | $169.68 | $451.33 |