| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $880.49 | $880.49 | $880.49 | |
Aetna
| Professional | $880.49 | $880.49 | $880.49 | |
CareFirst
| Professional | $886.00 | $925.74 | $1,129.23 | |
Cigna
| Professional | $966.65 | $966.65 | $966.65 | |
Kaiser Permanente
| Professional | $1,073.74 | $1,073.74 | $3,279.13 | |
United
| Professional | $549.41 | $824.12 | $1,167.50 |