| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $725.32 | $725.32 | $725.32 | |
Aetna
| Professional | $725.32 | $725.32 | $725.32 | |
CareFirst
| Professional | $950.00 | $950.00 | $1,211.45 | |
Cigna
| Professional | $808.12 | $808.12 | $808.12 | |
Kaiser Permanente
| Professional | $1,151.92 | $1,151.92 | $3,517.87 | |
United
| Professional | $589.41 | $884.12 | $1,376.17 |