| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.06 | $831.06 | $831.06 | |
Aetna
| Professional | $831.06 | $831.06 | $831.06 | |
CareFirst
| Professional | $875.01 | $875.01 | $1,065.83 | |
Cigna
| Professional | $650.95 | $650.95 | $650.95 | |
Kaiser Permanente
| Professional | $1,013.46 | $1,013.46 | $3,095.05 | |
United
| Professional | $518.57 | $777.85 | $1,329.50 |