| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.58 | $598.40 | $18,749.09 | |
Aetna
| Professional | $203.58 | $203.58 | $203.58 | |
CareFirst
| Professional | $203.58 | $335.43 | $567.17 | |
Cigna
| Facility | $192.06 | $192.06 | $203.58 | |
Kaiser Permanente
| Professional | $173.04 | $173.04 | $203.58 | |
United
| Professional | $201.54 | $215.79 | $299.67 |