| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $345.81 | $376.41 | $402.52 | |
CareFirst
| Professional | $8,753.00 | $8,753.00 | $8,753.00 | |
Cigna
| Facility | $22,227.31 | $22,227.31 | $22,227.31 | |
Kaiser Permanente
| Professional | $383.64 | $488.59 | $809.37 | |
United
| Professional | $321.67 | $426.06 | $796.86 |