| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.18 | $338.18 | $2,759.57 | |
Aetna
| Professional | $338.18 | $338.18 | $351.71 | |
CareFirst
| Professional | $360.73 | $360.73 | $360.73 | |
Cigna
| Facility | $732.73 | $762.03 | $1,639.13 | |
Cigna
| Professional | $523.50 | $523.50 | $575.33 | |
Kaiser Permanente
| Professional | $518.54 | $916.56 | $916.56 | |
United
| Facility | $189.38 | $189.38 | $189.38 | |
United
| Professional | $189.38 | $270.55 | $410.32 |