| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $767.46 | $767.46 | $767.46 | |
Aetna
| Professional | $767.46 | $767.46 | $996.99 | |
CareFirst
| Professional | $1,041.75 | $1,041.75 | $1,281.83 | |
Cigna
| Professional | $757.19 | $757.19 | $757.19 | |
Kaiser Permanente
| Professional | $1,218.83 | $1,218.83 | $3,722.26 | |
United
| Professional | $623.66 | $935.48 | $1,405.56 |