| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.36 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $86.99 | $120.32 | $179.68 | |
CareFirst
| Professional | $89.52 | $97.98 | $660.00 | |
Cigna
| Professional | $79.67 | $127.23 | $292.85 | |
Kaiser Permanente
| Professional | $146.53 | $331.43 | $331.43 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $103.09 | $145.00 | $383.00 |