| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.52 | $138.52 | $138.52 | |
Aetna
| Professional | $129.93 | $138.52 | $139.32 | |
CareFirst
| Professional | $188.75 | $195.60 | $1,290.41 | |
Cigna
| Facility | $367.19 | $623.16 | $24,998.62 | |
Cigna
| Professional | $131.01 | $375.77 | $700.98 | |
Kaiser Permanente
| Professional | $155.57 | $180.14 | $344.16 | |
United
| Professional | $160.60 | $287.11 | $436.09 |