| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.41 | $1,368.56 | $3,658.00 | |
Aetna
| Professional | $48.89 | $75.70 | $132.38 | |
CareFirst
| Professional | $59.75 | $62.27 | $1,410.00 | |
Cigna
| Professional | $52.35 | $117.52 | $250.66 | |
Kaiser Permanente
| Professional | $115.66 | $209.23 | $209.23 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 | |
United
| Professional | $69.56 | $176.91 | $253.32 |