| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $456.13 | $456.13 | $3,722.00 | |
Aetna
| Professional | $456.13 | $456.13 | $474.37 | |
CareFirst
| Professional | $486.54 | $486.54 | $486.54 | |
Cigna
| Facility | $988.28 | $1,027.81 | $2,210.50 | |
Cigna
| Professional | $705.78 | $705.78 | $775.66 | |
Kaiser Permanente
| Professional | $699.40 | $1,236.23 | $1,236.23 | |
United
| Professional | $255.43 | $364.90 | $966.99 |