| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.44 | $836.44 | $836.44 | |
Aetna
| Professional | $836.44 | $836.44 | $836.44 | |
CareFirst
| Professional | $841.00 | $841.00 | $1,072.74 | |
Cigna
| Professional | $807.37 | $807.37 | $807.37 | |
Kaiser Permanente
| Professional | $1,020.02 | $1,020.02 | $3,115.07 | |
United
| Professional | $521.91 | $782.89 | $1,338.10 |