| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $981.20 | $981.20 | $981.20 | |
Aetna
| Professional | $981.20 | $981.20 | $981.20 | |
CareFirst
| Professional | $1,026.31 | $1,026.31 | $1,258.40 | |
Cigna
| Professional | $970.58 | $970.58 | $970.58 | |
Kaiser Permanente
| Professional | $1,196.56 | $1,196.56 | $3,654.21 | |
United
| Professional | $612.25 | $918.38 | $1,301.04 |