| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.79 | $634.79 | $634.79 | |
Aetna
| Professional | $634.79 | $634.79 | $634.79 | |
CareFirst
| Professional | $865.87 | $865.87 | $1,060.26 | |
Cigna
| Professional | $814.12 | $814.12 | $814.12 | |
Kaiser Permanente
| Professional | $1,008.15 | $1,008.15 | $3,078.83 | |
United
| Professional | $515.85 | $773.78 | $1,448.55 |