| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.85 | $2,501.04 | $5,037.75 | |
Aetna
| Professional | $554.65 | $618.72 | $1,398.39 | |
CareFirst
| Professional | $607.54 | $656.71 | $2,319.81 | |
Cigna
| Professional | $517.05 | $648.54 | $2,824.24 | |
Kaiser Permanente
| Professional | $662.88 | $1,435.37 | $1,435.37 | |
United
| Professional | $507.46 | $1,440.62 | $2,035.00 |