| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $754.12 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $208.43 | $208.43 | $754.12 | |
CareFirst
| Professional | $186.07 | $202.82 | $13,025.00 | |
Cigna
| Professional | $158.82 | $421.85 | $1,406.82 | |
Kaiser Permanente
| Professional | $374.24 | $1,365.49 | $1,365.49 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $707.27 | $1,127.33 | $1,987.00 |