| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.07 | $827.07 | $827.07 | |
Aetna
| Professional | $827.07 | $827.07 | $827.07 | |
CareFirst
| Professional | $1,084.00 | $1,084.00 | $1,381.40 | |
Cigna
| Professional | $855.93 | $855.93 | $855.93 | |
Kaiser Permanente
| Professional | $1,313.51 | $1,313.51 | $4,011.39 | |
United
| Professional | $672.10 | $1,008.16 | $2,120.57 |