| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.50 | $2,080.00 | $4,601.00 | |
Aetna
| Professional | $96.02 | $253.50 | $488.60 | |
CareFirst
| Professional | $120.89 | $126.65 | $1,410.00 | |
Cigna
| Professional | $98.83 | $254.95 | $615.92 | |
Kaiser Permanente
| Professional | $214.53 | $562.96 | $562.96 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 | |
United
| Professional | $236.03 | $489.22 | $650.54 |