| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $778.86 | $778.86 | $778.86 | |
Aetna
| Professional | $778.86 | $778.86 | $778.86 | |
CareFirst
| Professional | $784.00 | $818.88 | $998.89 | |
Cigna
| Professional | $666.53 | $666.53 | $666.53 | |
Kaiser Permanente
| Professional | $949.80 | $949.80 | $2,900.62 | |
United
| Professional | $486.00 | $728.99 | $1,032.74 |