| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $940.79 | $940.79 | $940.79 | |
Aetna
| Professional | $940.79 | $940.79 | $940.79 | |
CareFirst
| Professional | $984.04 | $984.04 | $1,206.56 | |
Cigna
| Professional | $920.41 | $920.41 | $920.41 | |
Kaiser Permanente
| Professional | $1,147.27 | $1,147.27 | $3,503.68 | |
United
| Professional | $587.03 | $880.55 | $1,247.44 |