| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $4,073.80 | $4,570.88 | |
Aetna
| Professional | $114.82 | $251.19 | $446.68 | |
CareFirst
| Professional | $117.49 | $131.83 | $2,137.96 | |
Cigna
| Professional | $134.90 | $263.03 | $457.09 | |
Kaiser Permanente
| Professional | $269.15 | $302.00 | $645.65 | |
United
| Facility | $741.31 | $1,737.80 | $5,128.61 | |
United
| Professional | $117.49 | $281.84 | $724.44 |