| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $3,672.00 | |
Aetna
| Professional | $450.00 | $450.00 | $468.00 | |
CareFirst
| Professional | $480.00 | $480.00 | $480.00 | |
Cigna
| Facility | $975.00 | $1,014.00 | $2,180.73 | |
Cigna
| Professional | $696.61 | $696.61 | $765.58 | |
Kaiser Permanente
| Professional | $690.00 | $1,219.61 | $1,219.61 | |
United
| Professional | $126.57 | $180.81 | $545.99 |