| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.76 | $1,392.37 | $1,439.31 | |
Aetna
| Professional | $594.76 | $594.76 | $594.76 | |
CareFirst
| Professional | $928.26 | $928.26 | $928.26 | |
Cigna
| Professional | $606.70 | $606.70 | $606.70 | |
Kaiser Permanente
| Professional | $944.57 | $944.57 | $2,884.65 | |
United
| Professional | $483.32 | $724.97 | $1,089.27 |