| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.01 | $1,614.00 | $3,876.96 | |
Aetna
| Professional | $294.22 | $294.22 | $1,602.05 | |
CareFirst
| Professional | $263.87 | $287.62 | $7,775.00 | |
Cigna
| Professional | $242.75 | $605.76 | $3,419.12 | |
Kaiser Permanente
| Professional | $526.05 | $2,762.62 | $2,762.62 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $1,302.56 | $2,713.92 | $3,724.69 |