| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $3,548.13 | $5,128.61 | |
Aetna
| Professional | $123.03 | $467.74 | $1,348.96 | |
CareFirst
| Professional | $194.98 | $1,862.09 | $4,073.80 | |
Cigna
| Professional | $162.18 | $489.78 | $1,479.11 | |
Kaiser Permanente
| Professional | $524.81 | $549.54 | $1,380.38 | |
United
| Facility | $1,023.29 | $6,760.83 | $26,302.68 | |
United
| Professional | $154.88 | $457.09 | $1,318.26 |