| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $607.59 | $607.59 | $607.59 | |
Aetna
| Professional | $607.59 | $607.59 | $607.59 | |
CareFirst
| Professional | $870.19 | $870.19 | $1,014.81 | |
Cigna
| Professional | $839.33 | $839.33 | $839.33 | |
Kaiser Permanente
| Professional | $964.94 | $964.94 | $2,946.87 | |
United
| Professional | $493.74 | $740.61 | $1,112.77 |