| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $660.69 | $660.69 | |
Aetna
| Professional | $660.69 | $776.25 | $1,148.15 | |
CareFirst
| Professional | $891.25 | $891.25 | $1,122.02 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $741.31 | $741.31 | $1,096.48 | |
Kaiser Permanente
| Professional | $1,071.52 | $2,290.87 | $3,162.28 | |
United
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
United
| Professional | $537.03 | $794.33 | $1,513.56 |