| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $706.75 | $1,614.00 | $4,601.00 | |
Aetna
| Professional | $348.00 | $566.70 | $874.44 | |
CareFirst
| Professional | $363.99 | $389.05 | $1,951.00 | |
Cigna
| Professional | $327.77 | $612.23 | $1,296.40 | |
Kaiser Permanente
| Professional | $705.88 | $1,591.73 | $1,591.73 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $527.07 | $734.78 | $1,839.37 |