| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $897.55 | $930.57 | $1,878.56 | |
Aetna
| Professional | $78.65 | $78.65 | $78.65 | |
CareFirst
| Professional | $293.02 | $293.02 | $1,990.36 | |
Cigna
| Facility | $516.17 | $907.01 | $4,804.00 | |
Kaiser Permanente
| Professional | $97.04 | $210.20 | $210.20 | |
United
| Professional | $123.67 | $203.06 | $302.94 |