| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.39 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $48.71 | $69.05 | $81.39 | |
CareFirst
| Professional | $51.44 | $54.74 | $596.00 | |
Cigna
| Professional | $45.87 | $76.90 | $167.96 | |
Kaiser Permanente
| Professional | $83.35 | $185.48 | $185.48 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $60.63 | $83.53 | $214.34 |