| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $123.03 | $1,000.00 | |
Aetna
| Professional | $123.03 | $125.89 | $141.25 | |
CareFirst
| Professional | $131.83 | $147.91 | $162.18 | |
Cigna
| Facility | $269.15 | $275.42 | $630.96 | |
Kaiser Permanente
| Professional | $190.55 | $316.23 | $331.13 | |
United
| Facility | $194.98 | $194.98 | $194.98 | |
United
| Professional | $69.18 | $85.11 | $251.19 |