| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.08 | $1,793.00 | $4,100.00 | |
Aetna
| Professional | $58.59 | $94.18 | $144.49 | |
CareFirst
| Professional | $64.81 | $65.56 | $1,021.00 | |
Cigna
| Professional | $60.35 | $127.66 | $255.66 | |
Kaiser Permanente
| Professional | $133.59 | $225.53 | $225.53 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $85.94 | $183.63 | $266.94 |