| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $569.29 | $569.29 | $4,645.39 | |
Aetna
| Professional | $569.29 | $569.29 | $592.05 | |
CareFirst
| Professional | $607.24 | $607.24 | $607.24 | |
Cigna
| Facility | $1,233.45 | $1,282.79 | $2,759.26 | |
Cigna
| Professional | $880.98 | $880.98 | $968.20 | |
Kaiser Permanente
| Professional | $872.91 | $1,542.92 | $1,542.92 | |
United
| Professional | $318.80 | $455.43 | $1,206.89 |