| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $3,630.78 | $4,168.69 | |
Aetna
| Professional | $117.49 | $1,000.00 | $2,137.96 | |
CareFirst
| Professional | $120.23 | $138.04 | $1,698.24 | |
Cigna
| Professional | $117.49 | $524.81 | $3,162.28 | |
Kaiser Permanente
| Professional | $257.04 | $1,412.54 | $2,951.21 | |
United
| Facility | $660.69 | $1,737.80 | $8,128.31 | |
United
| Professional | $107.15 | $758.58 | $2,187.76 |