| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $769.36 | $831.11 | $1,156.90 | |
CareFirst
| Professional | $6,026.00 | $6,026.00 | $6,026.00 | |
Cigna
| Facility | $2,772.93 | $2,772.93 | $2,772.93 | |
Kaiser Permanente
| Professional | $944.24 | $1,218.07 | $2,051.03 | |
United
| Professional | $914.96 | $1,331.53 | $2,178.29 |