| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.81 | $188.81 | $188.81 | |
Aetna
| Professional | $188.81 | $188.81 | $188.81 | |
CareFirst
| Professional | $247.00 | $247.00 | $315.36 | |
Cigna
| Professional | $183.23 | $183.23 | $183.23 | |
Kaiser Permanente
| Professional | $299.86 | $299.86 | $915.75 | |
United
| Professional | $153.43 | $230.15 | $345.80 |