| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.41 | $525.41 | $4,287.43 | |
Aetna
| Professional | $525.41 | $525.41 | $525.41 | |
CareFirst
| Professional | $560.45 | $630.50 | $630.50 | |
Cigna
| Professional | $812.99 | $812.99 | $893.48 | |
Kaiser Permanente
| Professional | $805.64 | $1,424.03 | $1,424.03 | |
United
| Facility | $294.24 | $294.24 | $294.24 | |
United
| Professional | $294.24 | $315.25 | $1,113.89 |