| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,033.22 | $1,033.22 | $1,033.22 | |
Aetna
| Professional | $1,033.22 | $1,033.22 | $1,033.22 | |
CareFirst
| Professional | $1,039.00 | $1,039.00 | $1,325.11 | |
Cigna
| Professional | $1,150.95 | $1,150.95 | $1,150.95 | |
Kaiser Permanente
| Professional | $1,259.99 | $1,259.99 | $3,847.92 | |
United
| Professional | $644.71 | $967.07 | $1,370.01 |