| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $7,007.00 | |
Aetna
| Professional | $572.17 | $572.17 | $572.17 | |
CareFirst
| Professional | $627.22 | $627.22 | $7,706.00 | |
Cigna
| Professional | $560.37 | $816.38 | $1,476.37 | |
Kaiser Permanente
| Professional | $659.26 | $1,375.00 | $1,375.00 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 | |
United
| Professional | $450.70 | $1,105.42 | $1,627.48 |