| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.42 | $261.42 | $2,133.19 | |
Aetna
| Professional | $261.42 | $261.42 | $271.88 | |
CareFirst
| Professional | $278.85 | $313.70 | $960.15 | |
Cigna
| Facility | $566.40 | $589.05 | $1,266.54 | |
Cigna
| Professional | $215.38 | $784.42 | $2,715.30 | |
Kaiser Permanente
| Professional | $400.84 | $708.52 | $708.52 | |
United
| Professional | $146.40 | $209.14 | $628.11 |