| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.95 | $571.95 | $571.95 | |
Aetna
| Professional | $571.95 | $571.95 | $571.95 | |
CareFirst
| Professional | $749.00 | $749.00 | $955.29 | |
Cigna
| Professional | $606.53 | $606.53 | $606.53 | |
Kaiser Permanente
| Professional | $908.34 | $908.34 | $2,774.03 | |
United
| Professional | $464.78 | $697.18 | $1,305.14 |