| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.43 | $2,761.00 | $4,100.00 | |
Aetna
| Professional | $137.66 | $203.20 | $291.43 | |
CareFirst
| Professional | $99.26 | $157.21 | $284.00 | |
Cigna
| Professional | $141.59 | $258.98 | $640.00 | |
Kaiser Permanente
| Professional | $259.27 | $316.86 | $566.88 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $187.03 | $276.10 | $689.11 |