| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.26 | $1,477.74 | $1,991.28 | |
Aetna
| Professional | $529.26 | $529.26 | $529.26 | |
CareFirst
| Professional | $524.02 | $810.98 | $1,371.29 | |
Cigna
| Facility | $499.30 | $499.30 | $529.26 | |
Kaiser Permanente
| Professional | $449.87 | $449.87 | $529.26 | |
United
| Professional | $481.63 | $529.26 | $857.81 |