| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.00 | $2,036.00 | $4,047.00 | |
Aetna
| Professional | $82.59 | $398.63 | $940.80 | |
CareFirst
| Professional | $102.86 | $103.63 | $1,410.00 | |
Cigna
| Professional | $84.55 | $359.76 | $1,093.51 | |
Kaiser Permanente
| Professional | $183.41 | $864.14 | $864.14 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 | |
United
| Professional | $449.39 | $888.75 | $999.53 |