| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.00 | $460.00 | $460.00 | |
Aetna
| Professional | $460.00 | $460.00 | $460.00 | |
CareFirst
| Professional | $463.00 | $463.00 | $589.94 | |
Cigna
| Professional | $425.01 | $425.01 | $425.01 | |
Kaiser Permanente
| Professional | $560.95 | $560.95 | $1,713.10 | |
United
| Professional | $287.02 | $430.54 | $609.92 |