| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.11 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $29.14 | $42.80 | $177.43 | |
CareFirst
| Professional | $33.84 | $33.84 | $573.00 | |
Cigna
| Professional | $30.31 | $81.63 | $321.17 | |
Kaiser Permanente
| Professional | $66.02 | $166.63 | $322.51 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $137.79 | $266.93 | $392.05 |