| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.75 | $672.75 | $5,489.64 | |
Aetna
| Professional | $672.75 | $672.75 | $699.66 | |
CareFirst
| Professional | $717.60 | $807.30 | $807.30 | |
Cigna
| Facility | $1,457.63 | $1,515.93 | $3,260.40 | |
Cigna
| Professional | $491.61 | $1,288.56 | $6,989.14 | |
Kaiser Permanente
| Professional | $1,031.55 | $1,823.33 | $1,823.33 | |
United
| Professional | $376.74 | $538.20 | $1,426.23 |