| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.03 | $1,793.00 | $3,175.00 | |
Aetna
| Professional | $69.29 | $160.19 | $254.65 | |
CareFirst
| Professional | $76.43 | $94.19 | $1,410.00 | |
Cigna
| Professional | $86.52 | $218.79 | $693.54 | |
Kaiser Permanente
| Professional | $191.95 | $543.60 | $543.60 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 | |
United
| Professional | $142.97 | $323.14 | $658.16 |