| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.13 | $404.13 | $442.16 | |
CareFirst
| Professional | $559.54 | $559.54 | $559.54 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Kaiser Permanente
| Professional | $760.00 | $859.00 | $1,043.00 |