| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $606.12 | $606.12 | $606.12 | |
Aetna
| Professional | $606.12 | $606.12 | $606.12 | |
CareFirst
| Professional | $794.00 | $794.00 | $1,012.37 | |
Cigna
| Professional | $615.36 | $615.36 | $615.36 | |
Kaiser Permanente
| Professional | $962.62 | $962.62 | $2,939.77 | |
United
| Professional | $492.55 | $738.83 | $1,110.08 |