| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.68 | $3,670.00 | $4,047.00 | |
Aetna
| Professional | $128.76 | $1,067.38 | $1,597.81 | |
CareFirst
| Professional | $127.38 | $128.69 | $1,228.00 | |
Cigna
| Professional | $118.53 | $481.04 | $3,142.39 | |
Kaiser Permanente
| Professional | $259.58 | $1,375.65 | $2,971.20 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 | |
United
| Professional | $956.26 | $1,239.74 | $3,611.86 |