| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.89 | $1,501.88 | $2,023.80 | |
Aetna
| Professional | $529.89 | $529.89 | $529.89 | |
CareFirst
| Professional | $529.89 | $820.55 | $1,387.47 | |
Cigna
| Facility | $499.90 | $499.90 | $529.89 | |
Kaiser Permanente
| Professional | $450.41 | $450.41 | $529.89 | |
United
| Professional | $529.89 | $529.89 | $858.84 |