| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.59 | $582.66 | $785.16 | |
Aetna
| Professional | $206.59 | $206.59 | $206.59 | |
CareFirst
| Professional | $206.59 | $313.91 | $530.79 | |
Cigna
| Facility | $194.90 | $194.90 | $206.59 | |
Kaiser Permanente
| Professional | $175.60 | $175.60 | $206.59 | |
United
| Professional | $188.00 | $206.59 | $334.84 |