| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $930.73 | $930.73 | $930.73 | |
Aetna
| Professional | $930.73 | $930.73 | $930.73 | |
CareFirst
| Professional | $1,269.51 | $1,269.51 | $1,554.53 | |
Cigna
| Professional | $949.40 | $949.40 | $949.40 | |
Kaiser Permanente
| Professional | $1,478.14 | $1,478.14 | $4,514.14 | |
United
| Professional | $756.33 | $1,134.50 | $2,386.34 |