| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $980.66 | $980.66 | $980.66 | |
Aetna
| Professional | $980.66 | $980.66 | $980.66 | |
CareFirst
| Professional | $1,457.67 | $1,457.67 | $1,637.94 | |
Cigna
| Professional | $1,181.24 | $1,181.24 | $1,181.24 | |
Kaiser Permanente
| Professional | $1,557.45 | $1,557.45 | $4,756.34 | |
United
| Professional | $796.92 | $1,195.36 | $1,796.05 |