| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $638.70 | $638.70 | $638.70 | |
Aetna
| Professional | $638.70 | $638.70 | $638.70 | |
CareFirst
| Professional | $837.00 | $837.00 | $1,066.77 | |
Cigna
| Professional | $650.69 | $650.69 | $650.69 | |
Kaiser Permanente
| Professional | $1,014.35 | $1,014.35 | $3,097.75 | |
United
| Professional | $519.02 | $778.53 | $1,169.74 |