| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.50 | $712.50 | $5,814.00 | |
Aetna
| Professional | $712.50 | $712.50 | $712.50 | |
CareFirst
| Professional | $760.00 | $760.00 | $760.00 | |
Cigna
| Facility | $1,543.75 | $1,605.50 | $3,453.24 | |
Cigna
| Professional | $1,091.56 | $1,091.56 | $1,364.45 | |
Kaiser Permanente
| Professional | $1,931.07 | $1,931.07 | $1,931.07 | |
United
| Professional | $399.00 | $427.50 | $864.48 |