| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $3,162.28 | $7,762.47 | |
Aetna
| Professional | $89.13 | $138.04 | $331.13 | |
CareFirst
| Professional | $131.83 | $562.34 | $1,258.93 | |
Cigna
| Professional | $134.90 | $186.21 | $380.19 | |
Kaiser Permanente
| Professional | $131.83 | $257.04 | $309.03 | |
United
| Facility | $213.80 | $549.54 | $1,548.82 | |
United
| Professional | $102.33 | $169.82 | $371.54 |