| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.63 | $762.63 | $762.63 | |
Aetna
| Professional | $762.63 | $762.63 | $762.63 | |
CareFirst
| Professional | $1,040.23 | $1,040.23 | $1,273.76 | |
Cigna
| Professional | $809.14 | $809.14 | $809.14 | |
Kaiser Permanente
| Professional | $1,211.16 | $1,211.16 | $3,698.82 | |
United
| Professional | $619.73 | $929.60 | $1,396.72 |