| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $186.21 | $186.21 | |
Aetna
| Professional | $186.21 | $199.53 | $295.12 | |
CareFirst
| Professional | $245.47 | $245.47 | $323.59 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $181.97 | $181.97 | $257.04 | |
Kaiser Permanente
| Professional | $309.03 | $660.69 | $912.01 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $154.88 | $229.09 | $426.58 |