| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.55 | $287.60 | $787.83 | |
Aetna
| Professional | $96.55 | $96.55 | $100.41 | |
CareFirst
| Professional | $102.98 | $115.86 | $731.10 | |
Cigna
| Facility | $209.18 | $217.54 | $467.81 | |
Cigna
| Professional | $95.65 | $245.34 | $1,003.07 | |
Kaiser Permanente
| Professional | $148.04 | $261.67 | $261.67 | |
United
| Professional | $54.07 | $77.23 | $279.24 |