| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.60 | $225.60 | $225.60 | |
Aetna
| Professional | $225.60 | $225.60 | $225.60 | |
CareFirst
| Professional | $335.33 | $335.33 | $335.33 | |
Cigna
| Professional | $230.13 | $230.13 | $230.13 | |
Kaiser Permanente
| Professional | $358.29 | $358.29 | $1,094.18 | |
United
| Professional | $183.33 | $274.99 | $514.79 |