| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.59 | $1,614.00 | $3,175.00 | |
Aetna
| Professional | $48.56 | $125.81 | $204.59 | |
CareFirst
| Professional | $57.95 | $64.02 | $1,021.00 | |
Cigna
| Professional | $49.77 | $186.57 | $555.91 | |
Kaiser Permanente
| Professional | $108.44 | $446.38 | $446.38 | |
United
| Facility | $165.00 | $549.00 | $5,940.00 | |
United
| Professional | $199.80 | $328.09 | $515.83 |