| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.40 | $228.40 | $228.40 | |
Aetna
| Professional | $228.40 | $228.40 | $228.40 | |
CareFirst
| Professional | $299.00 | $299.00 | $381.49 | |
Cigna
| Professional | $305.89 | $305.89 | $305.89 | |
Kaiser Permanente
| Professional | $362.75 | $362.75 | $1,107.80 | |
United
| Professional | $185.61 | $278.41 | $418.31 |