| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.55 | $762.76 | $1,334.53 | |
Aetna
| Professional | $163.55 | $163.55 | $395.79 | |
CareFirst
| Professional | $196.25 | $218.06 | $1,176.41 | |
Cigna
| Facility | $354.35 | $368.52 | $792.78 | |
Cigna
| Professional | $158.77 | $396.79 | $1,698.75 | |
Kaiser Permanente
| Professional | $250.77 | $443.25 | $443.25 | |
United
| Professional | $91.59 | $130.84 | $462.98 |