| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.99 | $578.99 | $4,724.52 | |
Aetna
| Professional | $578.99 | $578.99 | $578.99 | |
CareFirst
| Professional | $617.58 | $617.58 | $617.58 | |
Cigna
| Facility | $1,254.48 | $1,304.65 | $2,806.87 | |
Cigna
| Professional | $887.12 | $887.12 | $1,108.91 | |
Kaiser Permanente
| Professional | $1,569.20 | $1,569.20 | $1,569.20 | |
United
| Professional | $324.23 | $347.39 | $702.49 |