| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $748.54 | $748.54 | $748.54 | |
Aetna
| Professional | $748.54 | $748.54 | $748.54 | |
CareFirst
| Professional | $981.00 | $981.00 | $1,250.24 | |
Cigna
| Professional | $866.46 | $866.46 | $866.46 | |
Kaiser Permanente
| Professional | $1,188.80 | $1,188.80 | $3,630.52 | |
United
| Professional | $608.29 | $912.43 | $1,370.93 |