| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.20 | $541.67 | $3,175.00 | |
Aetna
| Professional | $111.95 | $126.26 | $389.71 | |
CareFirst
| Professional | $137.99 | $154.71 | $1,643.00 | |
Cigna
| Professional | $127.08 | $218.22 | $409.31 | |
Kaiser Permanente
| Professional | $280.49 | $356.31 | $356.31 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $130.04 | $316.68 | $421.74 |