| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $2,754.23 | $4,073.80 | |
Aetna
| Professional | $97.72 | $141.25 | $194.98 | |
CareFirst
| Professional | $97.72 | $144.54 | $2,454.71 | |
Cigna
| Professional | $91.20 | $194.98 | $398.11 | |
Kaiser Permanente
| Professional | $177.83 | $223.87 | $380.19 | |
United
| Facility | $741.31 | $1,737.80 | $5,128.61 | |
United
| Professional | $91.20 | $186.21 | $371.54 |