| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,162.00 | $4,100.00 | |
Aetna
| Professional | $123.18 | $148.90 | $148.90 | |
CareFirst
| Professional | $142.00 | $149.08 | $472.00 | |
Cigna
| Professional | $122.88 | $174.00 | $367.99 | |
Kaiser Permanente
| Professional | $132.16 | $265.43 | $288.60 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $108.18 | $150.06 | $350.83 |