| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $1,584.89 | $3,162.28 | |
Aetna
| Professional | $77.62 | $562.34 | $2,398.83 | |
CareFirst
| Professional | $107.15 | $549.54 | $2,041.74 | |
Cigna
| Professional | $87.10 | $489.78 | $1,778.28 | |
Kaiser Permanente
| Professional | $616.60 | $645.65 | $1,659.59 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $83.18 | $251.19 | $1,584.89 |