| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $656.56 | $656.56 | $656.56 | |
Aetna
| Professional | $656.56 | $656.56 | $656.56 | |
CareFirst
| Professional | $895.56 | $895.56 | $1,096.60 | |
Cigna
| Professional | $748.49 | $748.49 | $748.49 | |
Kaiser Permanente
| Professional | $1,042.72 | $1,042.72 | $3,184.41 | |
United
| Professional | $533.54 | $800.32 | $1,498.22 |