| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $777.42 | $777.42 | $777.42 | |
Aetna
| Professional | $777.42 | $777.42 | $777.42 | |
CareFirst
| Professional | $813.16 | $813.16 | $813.16 | |
Cigna
| Professional | $705.98 | $705.98 | $705.98 | |
Kaiser Permanente
| Professional | $948.04 | $948.04 | $2,895.26 | |
United
| Professional | $485.10 | $727.64 | $1,030.83 |