| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $886.52 | $886.52 | $886.52 | |
Aetna
| Professional | $886.52 | $886.52 | $886.52 | |
CareFirst
| Professional | $1,161.00 | $1,161.00 | $1,480.69 | |
Cigna
| Professional | $953.43 | $953.43 | $953.43 | |
Kaiser Permanente
| Professional | $1,407.93 | $1,407.93 | $4,299.71 | |
United
| Professional | $720.41 | $1,080.60 | $1,623.62 |