| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.21 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $133.00 | $178.02 | $221.22 | |
CareFirst
| Professional | $141.69 | $153.07 | $660.00 | |
Cigna
| Professional | $128.07 | $188.19 | $461.88 | |
Kaiser Permanente
| Professional | $216.96 | $489.39 | $489.39 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $153.91 | $211.02 | $565.53 |