| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.69 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $108.11 | $108.11 | $175.69 | |
CareFirst
| Professional | $86.92 | $113.51 | $603.00 | |
Cigna
| Professional | $88.98 | $144.87 | $226.25 | |
Kaiser Permanente
| Professional | $192.27 | $313.26 | $313.26 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $148.78 | $232.48 | $422.35 |