| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $831.76 | |
Aetna
| Professional | $676.08 | $758.58 | $1,047.13 | |
CareFirst
| Professional | $870.96 | $870.96 | $1,096.48 | |
Cigna
| Facility | $891.25 | $891.25 | $891.25 | |
Cigna
| Professional | $645.65 | $645.65 | $954.99 | |
Kaiser Permanente
| Professional | $1,023.29 | $2,238.72 | $3,090.30 | |
United
| Facility | $2,290.87 | $2,290.87 | $2,290.87 | |
United
| Professional | $512.86 | $776.25 | $1,174.90 |