| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.84 | $598.86 | $806.97 | |
Aetna
| Professional | $213.84 | $213.84 | $213.84 | |
CareFirst
| Professional | $212.36 | $324.37 | $548.49 | |
Cigna
| Facility | $201.74 | $201.74 | $213.84 | |
Kaiser Permanente
| Professional | $181.76 | $181.76 | $213.84 | |
United
| Professional | $194.59 | $213.84 | $346.59 |