| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.38 | $186.38 | $1,520.88 | |
Aetna
| Professional | $186.38 | $186.38 | $186.38 | |
CareFirst
| Professional | $198.81 | $198.81 | $198.81 | |
Cigna
| Facility | $403.83 | $419.98 | $903.48 | |
Cigna
| Professional | $288.24 | $288.24 | $316.77 | |
Kaiser Permanente
| Professional | $285.79 | $505.15 | $505.15 | |
United
| Professional | $104.37 | $149.11 | $395.13 |