| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $715.43 | $715.43 | $715.43 | |
Aetna
| Professional | $715.43 | $715.43 | $960.89 | |
CareFirst
| Professional | $918.37 | $918.37 | $918.37 | |
Cigna
| Professional | $848.41 | $848.41 | $848.41 | |
Kaiser Permanente
| Professional | $1,136.21 | $1,136.21 | $3,469.90 | |
United
| Professional | $581.38 | $872.06 | $1,834.32 |