| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.60 | $274.60 | $274.60 | |
Aetna
| Professional | $219.93 | $274.60 | $476.70 | |
CareFirst
| Professional | $336.33 | $336.33 | $447.32 | |
Cigna
| Professional | $236.08 | $296.04 | $1,235.53 | |
Kaiser Permanente
| Professional | $267.69 | $314.93 | $652.33 | |
United
| Professional | $181.51 | $226.47 | $646.65 |