| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $2,754.23 | $4,073.80 | |
Aetna
| Professional | $72.44 | $109.65 | $245.47 | |
CareFirst
| Professional | $75.86 | $562.34 | $2,344.23 | |
Cigna
| Professional | $81.28 | $141.25 | $295.12 | |
Kaiser Permanente
| Professional | $134.90 | $181.97 | $275.42 | |
United
| Facility | $213.80 | $549.54 | $1,548.82 | |
United
| Professional | $72.44 | $128.82 | $251.19 |