| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.69 | $459.00 | $726.61 | |
Aetna
| Professional | $272.70 | $272.70 | $272.70 | |
CareFirst
| Professional | $256.67 | $256.67 | $256.67 | |
Cigna
| Facility | $272.70 | $272.70 | $272.70 | |
Cigna
| Professional | $272.70 | $272.70 | $272.70 | |
Kaiser Permanente
| Professional | $259.08 | $259.08 | $676.26 | |
United
| Professional | $267.37 | $267.37 | $433.35 |