| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $821.64 | $821.64 | $821.64 | |
Aetna
| Professional | $821.64 | $821.64 | $821.64 | |
CareFirst
| Professional | $827.00 | $827.00 | $1,053.76 | |
Cigna
| Professional | $703.15 | $703.15 | $703.15 | |
Kaiser Permanente
| Professional | $1,001.98 | $1,001.98 | $3,059.97 | |
United
| Professional | $512.69 | $769.04 | $1,089.47 |