| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,247.66 | $1,247.66 | $1,247.66 | |
Aetna
| Professional | $1,247.66 | $1,247.66 | $1,247.66 | |
CareFirst
| Professional | $1,255.00 | $1,255.00 | $1,255.00 | |
Cigna
| Professional | $1,275.43 | $1,275.43 | $1,275.43 | |
Kaiser Permanente
| Professional | $1,521.49 | $1,521.49 | $4,646.55 | |
United
| Professional | $778.52 | $1,167.78 | $1,654.36 |