| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.32 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $211.32 | $211.32 | $211.32 | |
CareFirst
| Professional | $227.07 | $227.07 | $273.10 | |
Cigna
| Professional | $191.43 | $312.01 | $534.62 | |
Kaiser Permanente
| Professional | $225.22 | $468.70 | $468.70 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $156.79 | $255.86 | $554.76 |