| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.39 | $931.39 | $931.39 | |
Aetna
| Professional | $931.39 | $931.39 | $931.39 | |
CareFirst
| Professional | $937.00 | $937.00 | $937.00 | |
Cigna
| Professional | $1,003.93 | $1,003.93 | $1,003.93 | |
Kaiser Permanente
| Professional | $1,135.81 | $1,135.81 | $3,468.68 | |
United
| Professional | $581.16 | $871.76 | $1,234.99 |