| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,510.92 | $2,369.00 | $4,975.00 | |
Aetna
| Professional | $576.57 | $624.35 | $1,510.92 | |
CareFirst
| Professional | $669.41 | $691.23 | $4,930.00 | |
Cigna
| Professional | $598.08 | $1,035.52 | $1,659.59 | |
Kaiser Permanente
| Professional | $664.53 | $1,379.57 | $1,379.57 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 | |
United
| Professional | $518.64 | $1,382.43 | $1,670.29 |