| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,880.00 | $3,175.00 | |
Aetna
| Professional | $176.94 | $471.82 | $679.79 | |
CareFirst
| Professional | $198.53 | $198.53 | $1,179.63 | |
Cigna
| Professional | $185.67 | $510.17 | $1,304.83 | |
Kaiser Permanente
| Professional | $414.00 | $626.29 | $1,320.56 | |
United
| Facility | $1,832.00 | $9,938.00 | $26,408.00 | |
United
| Professional | $403.30 | $633.44 | $1,586.71 |