| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $512.86 | $512.86 | |
Aetna
| Professional | $512.86 | $602.56 | $831.76 | |
CareFirst
| Professional | $707.95 | $707.95 | $891.25 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $741.31 | $741.31 | $1,071.52 | |
Kaiser Permanente
| Professional | $831.76 | $1,819.70 | $2,511.89 | |
United
| Facility | $2,041.74 | $2,041.74 | $2,041.74 | |
United
| Professional | $416.87 | $630.96 | $1,174.90 |