| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.67 | $2,972.36 | $4,100.00 | |
Aetna
| Professional | $214.88 | $971.18 | $1,820.61 | |
CareFirst
| Professional | $203.28 | $218.40 | $1,686.00 | |
Cigna
| Professional | $202.20 | $921.48 | $2,821.43 | |
Kaiser Permanente
| Professional | $434.96 | $1,069.67 | $2,295.67 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 | |
United
| Professional | $1,107.92 | $2,042.78 | $3,283.95 |