| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $2,630.27 | $4,073.80 | |
Aetna
| Professional | $107.15 | $331.13 | $1,047.13 | |
CareFirst
| Professional | $107.15 | $154.88 | $2,454.71 | |
Cigna
| Professional | $97.72 | $245.47 | $645.65 | |
Kaiser Permanente
| Professional | $239.88 | $316.23 | $616.60 | |
United
| Facility | $741.31 | $1,737.80 | $5,128.61 | |
United
| Professional | $100.00 | $251.19 | $562.34 |