| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $234.42 | |
Aetna
| Professional | $234.42 | $263.03 | $346.74 | |
CareFirst
| Professional | $363.08 | $363.08 | $398.11 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $239.88 | $239.88 | $346.74 | |
Kaiser Permanente
| Professional | $380.19 | $812.83 | $1,122.02 | |
United
| Facility | $851.14 | $851.14 | $851.14 | |
United
| Professional | $190.55 | $281.84 | $537.03 |