| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.80 | $174.80 | $1,426.39 | |
Aetna
| Professional | $174.80 | $174.80 | $181.79 | |
CareFirst
| Professional | $209.76 | $233.07 | $803.80 | |
Cigna
| Facility | $378.75 | $393.90 | $847.54 | |
Cigna
| Professional | $159.85 | $524.52 | $1,814.70 | |
Kaiser Permanente
| Professional | $268.02 | $473.76 | $473.76 | |
United
| Professional | $97.89 | $212.09 | $466.47 |