| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.64 | $365.10 | $584.58 | |
Aetna
| Professional | $71.64 | $71.64 | $71.64 | |
CareFirst
| Professional | $76.42 | $331.50 | $725.48 | |
Cigna
| Facility | $155.22 | $161.43 | $347.59 | |
Cigna
| Professional | $52.39 | $109.86 | $137.32 | |
Kaiser Permanente
| Professional | $194.16 | $194.16 | $194.16 | |
United
| Professional | $40.11 | $49.95 | $86.92 |