| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.29 | $768.29 | $768.29 | |
Aetna
| Professional | $768.29 | $768.29 | $768.29 | |
CareFirst
| Professional | $773.00 | $773.00 | $985.33 | |
Cigna
| Professional | $876.09 | $876.09 | $876.09 | |
Kaiser Permanente
| Professional | $936.90 | $936.90 | $2,861.25 | |
United
| Professional | $479.40 | $719.09 | $1,018.72 |