| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $490.88 | $508.84 | $508.84 | |
CareFirst
| Professional | $508.84 | $508.84 | $508.84 | |
Cigna
| Facility | $508.84 | $508.84 | $508.84 | |
Cigna
| Professional | $508.84 | $508.84 | $508.84 | |
Kaiser Permanente
| Professional | $491.90 | $578.71 | $723.39 | |
United
| Professional | $498.87 | $498.87 | $528.79 |