| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $685.50 | $685.50 | $5,593.68 | |
Aetna
| Professional | $685.50 | $685.50 | $712.92 | |
CareFirst
| Professional | $731.20 | $822.60 | $822.60 | |
Cigna
| Facility | $1,485.25 | $1,544.66 | $3,322.30 | |
Cigna
| Professional | $500.79 | $1,312.82 | $7,121.26 | |
Kaiser Permanente
| Professional | $1,051.09 | $1,857.89 | $1,857.89 | |
United
| Professional | $383.88 | $740.24 | $831.72 |