| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.22 | $223.22 | $223.22 | |
Aetna
| Professional | $223.22 | $223.22 | $223.22 | |
CareFirst
| Professional | $233.49 | $233.49 | $286.27 | |
Cigna
| Professional | $238.86 | $238.86 | $238.86 | |
Kaiser Permanente
| Professional | $272.20 | $272.20 | $831.31 | |
United
| Professional | $139.28 | $208.93 | $295.98 |