| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $444.69 | $444.69 | $444.69 | |
Aetna
| Professional | $444.69 | $444.69 | $444.69 | |
CareFirst
| Professional | $447.00 | $447.00 | $570.32 | |
Cigna
| Professional | $417.71 | $417.71 | $417.71 | |
Kaiser Permanente
| Professional | $542.29 | $542.29 | $1,656.12 | |
United
| Professional | $277.48 | $416.21 | $589.64 |