| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $715.03 | $715.03 | $715.03 | |
Aetna
| Professional | $608.58 | $715.03 | $795.14 | |
CareFirst
| Professional | $880.29 | $880.29 | $1,170.79 | |
Cigna
| Professional | $620.11 | $777.06 | $3,198.35 | |
Kaiser Permanente
| Professional | $691.50 | $813.53 | $1,696.11 | |
United
| Professional | $494.97 | $620.72 | $1,816.03 |