| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.08 | $326.08 | $326.08 | |
Aetna
| Professional | $326.08 | $326.08 | $411.37 | |
CareFirst
| Professional | $427.00 | $427.00 | $427.00 | |
Cigna
| Professional | $335.80 | $335.80 | $335.80 | |
Kaiser Permanente
| Professional | $517.89 | $517.89 | $1,581.60 | |
United
| Professional | $265.00 | $397.49 | $597.23 |