| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $593.00 | $1,107.80 | $1,800.40 | |
Aetna
| Professional | $593.00 | $593.00 | $593.00 | |
CareFirst
| Professional | $577.04 | $879.35 | $1,486.90 | |
Cigna
| Facility | $559.44 | $559.44 | $593.00 | |
Kaiser Permanente
| Professional | $504.05 | $504.05 | $593.00 | |
United
| Professional | $539.63 | $593.00 | $961.12 |