| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $919.99 | $919.99 | $919.99 | |
Aetna
| Professional | $919.99 | $919.99 | $919.99 | |
CareFirst
| Professional | $925.00 | $925.00 | $1,179.89 | |
Cigna
| Professional | $899.89 | $899.89 | $899.89 | |
Kaiser Permanente
| Professional | $1,121.91 | $1,121.91 | $3,426.22 | |
United
| Professional | $574.05 | $861.09 | $1,219.88 |