| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $924.00 | $981.75 | $981.75 | |
CareFirst
| Professional | $981.75 | $981.75 | $981.75 | |
Cigna
| Professional | $981.75 | $981.75 | $981.75 | |
Kaiser Permanente
| Professional | $932.66 | $1,097.25 | $1,261.83 | |
United
| Professional | $962.50 | $962.50 | $1,155.00 |