| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.54 | $896.54 | $896.54 | |
Aetna
| Professional | $77.93 | $896.54 | $896.54 | |
CareFirst
| Professional | $1,161.00 | $1,410.00 | $4,500.00 | |
Cigna
| Professional | $160.97 | $630.72 | $630.72 | |
Kaiser Permanente
| Professional | $217.58 | $229.03 | $1,820.02 | |
United
| Professional | $50.42 | $201.29 | $2,115.27 |