| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.12 | $398.12 | $398.12 | |
Aetna
| Professional | $398.12 | $398.12 | $398.12 | |
CareFirst
| Professional | $400.00 | $418.57 | $510.58 | |
Cigna
| Professional | $387.20 | $387.20 | $387.20 | |
Kaiser Permanente
| Professional | $485.49 | $485.49 | $1,482.65 | |
United
| Professional | $248.42 | $372.62 | $527.88 |