| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.84 | $3,575.00 | $4,601.00 | |
Aetna
| Professional | $209.25 | $247.16 | $330.84 | |
CareFirst
| Professional | $263.70 | $281.93 | $660.00 | |
Cigna
| Professional | $247.82 | $467.91 | $859.16 | |
Kaiser Permanente
| Professional | $545.78 | $735.31 | $735.31 | |
United
| Facility | $165.00 | $442.00 | $12,340.00 | |
United
| Professional | $224.49 | $402.32 | $890.26 |