| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $302.00 | $302.00 | $323.59 | |
CareFirst
| Professional | $426.58 | $426.58 | $426.58 | |
Cigna
| Facility | $281.84 | $281.84 | $281.84 | |
Cigna
| Professional | $281.84 | $281.84 | $295.12 | |
Kaiser Permanente
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Professional | $204.17 | $302.00 | $309.03 |