| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.42 | $819.42 | $819.42 | |
Aetna
| Professional | $819.42 | $819.42 | $819.42 | |
CareFirst
| Professional | $1,117.69 | $1,117.69 | $1,368.62 | |
Cigna
| Professional | $952.00 | $952.00 | $952.00 | |
Kaiser Permanente
| Professional | $1,301.36 | $1,301.36 | $3,974.27 | |
United
| Professional | $665.88 | $998.83 | $1,500.74 |