| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.13 | $535.13 | $535.13 | |
Aetna
| Professional | $535.13 | $535.13 | $535.13 | |
CareFirst
| Professional | $559.73 | $559.73 | $559.73 | |
Cigna
| Professional | $558.53 | $558.53 | $558.53 | |
Kaiser Permanente
| Professional | $652.57 | $652.57 | $1,992.92 | |
United
| Professional | $333.91 | $500.87 | $709.56 |