| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $735.94 | $735.94 | $735.94 | |
Aetna
| Professional | $735.94 | $735.94 | $735.94 | |
CareFirst
| Professional | $1,148.60 | $1,148.60 | $1,229.19 | |
Cigna
| Professional | $870.00 | $870.00 | $870.00 | |
Kaiser Permanente
| Professional | $1,168.78 | $1,168.78 | $3,569.40 | |
United
| Professional | $598.04 | $897.07 | $1,347.85 |