| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $824.80 | $824.80 | $824.80 | |
Aetna
| Professional | $824.80 | $824.80 | $824.80 | |
CareFirst
| Professional | $1,225.98 | $1,225.98 | $1,377.60 | |
Cigna
| Professional | $975.01 | $975.01 | $975.01 | |
Kaiser Permanente
| Professional | $1,309.90 | $1,309.90 | $4,000.35 | |
United
| Professional | $670.25 | $907.76 | $1,510.58 |