| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $111.40 | $141.62 | $342.72 | |
CareFirst
| Professional | $128.34 | $152.80 | $1,021.00 | |
Cigna
| Professional | $133.63 | $241.53 | $379.23 | |
Kaiser Permanente
| Professional | $148.47 | $311.37 | $311.37 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $109.06 | $259.07 | $367.85 |