| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,575.00 | $4,601.00 | |
Aetna
| Professional | $242.12 | $274.67 | $1,334.84 | |
CareFirst
| Professional | $205.98 | $205.98 | $339.87 | |
Cigna
| Professional | $213.81 | $554.82 | $2,415.32 | |
Kaiser Permanente
| Professional | $434.59 | $1,172.23 | $2,311.42 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 | |
United
| Professional | $975.72 | $2,306.11 | $3,116.37 |