| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.71 | $935.37 | $1,115.35 | |
Aetna
| Professional | $394.71 | $394.71 | $530.12 | |
CareFirst
| Professional | $586.70 | $586.70 | $659.25 | |
Cigna
| Professional | $402.62 | $402.62 | $402.62 | |
Kaiser Permanente
| Professional | $626.85 | $626.85 | $1,914.38 | |
United
| Professional | $320.75 | $481.12 | $722.89 |