| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.86 | $350.86 | $350.86 | |
Aetna
| Professional | $350.86 | $350.86 | $350.86 | |
CareFirst
| Professional | $353.00 | $368.88 | $449.97 | |
Cigna
| Professional | $324.48 | $324.48 | $324.48 | |
Kaiser Permanente
| Professional | $427.86 | $427.86 | $1,306.66 | |
United
| Professional | $218.93 | $328.39 | $465.22 |