| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.35 | $675.35 | $675.35 | |
Aetna
| Professional | $675.35 | $675.35 | $675.35 | |
CareFirst
| Professional | $707.34 | $710.05 | $866.14 | |
Cigna
| Professional | $528.98 | $528.98 | $528.98 | |
Kaiser Permanente
| Professional | $823.58 | $823.58 | $2,515.14 | |
United
| Professional | $421.40 | $632.11 | $895.48 |