| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $826.12 | $826.12 | $826.12 | |
Aetna
| Professional | $826.12 | $826.12 | $826.12 | |
CareFirst
| Professional | $905.55 | $905.55 | $1,059.50 | |
Cigna
| Professional | $811.19 | $811.19 | $811.19 | |
Kaiser Permanente
| Professional | $1,007.44 | $1,007.44 | $3,076.63 | |
United
| Professional | $515.48 | $773.22 | $1,176.23 |