| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $20,123.99 | |
Aetna
| Professional | $241.36 | $264.55 | $1,114.81 | |
Aetna
| Professional | AS | $119.28 | $119.28 | $119.28 |
CareFirst
| Professional | $316.23 | $316.23 | $2,298.00 | |
Cigna
| Professional | $250.95 | $465.97 | $1,089.63 | |
Kaiser Permanente
| Professional | $278.83 | $580.04 | $580.04 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $223.06 | $347.66 | $702.29 |