| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.84 | $221.84 | $1,810.23 | |
Aetna
| Professional | $221.84 | $221.84 | $230.72 | |
CareFirst
| Professional | $236.63 | $236.63 | $1,186.11 | |
Cigna
| Facility | $480.65 | $499.88 | $1,074.90 | |
Cigna
| Professional | $168.34 | $380.22 | $2,305.44 | |
Kaiser Permanente
| Professional | $340.16 | $601.25 | $601.25 | |
United
| Professional | $124.23 | $177.47 | $470.31 |