| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $664.84 | $3,263.00 | $4,601.00 | |
Aetna
| Professional | $312.27 | $528.91 | $823.29 | |
CareFirst
| Professional | $327.11 | $349.12 | $1,951.00 | |
Cigna
| Professional | $294.39 | $576.33 | $1,183.79 | |
Kaiser Permanente
| Professional | $663.82 | $1,498.47 | $1,498.47 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $474.38 | $636.76 | $1,731.60 |