| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.06 | $2,761.00 | $4,100.00 | |
Aetna
| Professional | $66.64 | $101.47 | $209.06 | |
CareFirst
| Professional | $68.86 | $68.86 | $1,744.00 | |
Cigna
| Professional | $65.87 | $168.24 | $439.84 | |
Kaiser Permanente
| Professional | $146.27 | $186.37 | $397.92 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 | |
United
| Professional | $113.85 | $176.99 | $459.54 |