| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $2,754.23 | $4,073.80 | |
Aetna
| Professional | $177.83 | $426.58 | $1,122.02 | |
CareFirst
| Professional | $186.21 | $426.58 | $2,344.23 | |
Cigna
| Professional | $177.83 | $398.11 | $660.69 | |
Kaiser Permanente
| Professional | $426.58 | $501.19 | $977.24 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $173.78 | $363.08 | $831.76 |