| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $653.37 | $653.37 | $653.37 | |
Aetna
| Professional | $653.37 | $653.37 | $653.37 | |
CareFirst
| Professional | $891.20 | $891.20 | $1,091.28 | |
Cigna
| Professional | $752.17 | $752.17 | $752.17 | |
Kaiser Permanente
| Professional | $1,037.65 | $1,037.65 | $3,168.92 | |
United
| Professional | $530.94 | $796.42 | $1,196.61 |