| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.50 | $532.50 | $4,345.20 | |
Aetna
| Professional | $532.50 | $532.50 | $532.50 | |
CareFirst
| Professional | $568.00 | $639.00 | $639.00 | |
Cigna
| Professional | $824.25 | $824.25 | $905.86 | |
Kaiser Permanente
| Professional | $816.50 | $1,443.22 | $1,443.22 | |
United
| Professional | $298.20 | $426.00 | $1,128.90 |