| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.57 | $221.57 | $221.57 | |
Aetna
| Professional | $221.57 | $221.57 | $221.57 | |
CareFirst
| Professional | $223.00 | $223.00 | $284.17 | |
Cigna
| Professional | $166.64 | $166.64 | $166.64 | |
Kaiser Permanente
| Professional | $270.20 | $270.20 | $825.17 | |
United
| Professional | $138.26 | $207.38 | $354.46 |