| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.99 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $77.78 | $93.99 | $93.99 | |
CareFirst
| Professional | $84.31 | $89.76 | $472.00 | |
Cigna
| Professional | $77.70 | $109.69 | $217.05 | |
Kaiser Permanente
| Professional | $83.60 | $168.94 | $182.46 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $68.41 | $95.20 | $221.80 |