| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.89 | $533.54 | $4,100.00 | |
Aetna
| Professional | $132.35 | $173.89 | $320.27 | |
CareFirst
| Professional | $125.86 | $135.88 | $660.00 | |
Cigna
| Professional | $120.45 | $158.09 | $426.72 | |
Kaiser Permanente
| Professional | $156.44 | $341.25 | $341.25 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $134.44 | $311.61 | $443.45 |