| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $2,754.23 | $30,199.52 | |
Aetna
| Professional | $245.47 | $537.03 | $2,344.23 | |
Aetna
| Professional | AS | $30.90 | $64.57 | $154.88 |
CareFirst
| Professional | $275.42 | $426.58 | $2,818.38 | |
Cigna
| Professional | $251.19 | $416.87 | $933.25 | |
Kaiser Permanente
| Professional | $234.42 | $537.03 | $575.44 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $234.42 | $346.74 | $707.95 |