| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.70 | $675.10 | $1,350.20 | |
Aetna
| Professional | $434.40 | $434.40 | $434.40 | |
CareFirst
| Professional | $645.71 | $645.71 | $645.71 | |
Cigna
| Professional | $443.12 | $443.12 | $443.12 | |
Kaiser Permanente
| Professional | $689.90 | $689.90 | $2,106.91 | |
United
| Professional | $317.93 | $529.51 | $795.58 |