| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $2,754.23 | $4,073.80 | |
Aetna
| Professional | $61.66 | $134.90 | $234.42 | |
CareFirst
| Professional | $93.33 | $426.58 | $2,691.53 | |
Cigna
| Professional | $97.72 | $151.36 | $223.87 | |
Kaiser Permanente
| Professional | $190.55 | $309.03 | $316.23 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $83.18 | $173.78 | $316.23 |