| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.15 | $448.15 | $448.15 | |
Aetna
| Professional | $448.15 | $448.15 | $448.15 | |
CareFirst
| Professional | $587.00 | $587.00 | $748.52 | |
Cigna
| Professional | $461.73 | $461.73 | $461.73 | |
Kaiser Permanente
| Professional | $711.74 | $711.74 | $2,173.61 | |
United
| Professional | $364.18 | $546.27 | $820.77 |