| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.16 | $194.96 | $1,099.00 | |
Aetna
| Professional | $189.06 | $198.21 | $373.80 | |
CareFirst
| Professional | $231.89 | $257.64 | $425.12 | |
Cigna
| Professional | $223.21 | $494.89 | $869.00 | |
Kaiser Permanente
| Professional | $210.86 | $465.89 | $465.89 | |
United
| Professional | $171.68 | $276.27 | $589.99 |