| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.62 | $461.62 | $461.62 | |
Aetna
| Professional | $461.62 | $461.62 | $461.62 | |
CareFirst
| Professional | $479.72 | $479.72 | $479.72 | |
Cigna
| Facility | $506.88 | $506.88 | $506.88 | |
Kaiser Permanente
| Professional | $975.13 | $975.13 | $975.13 | |
United
| Professional | $448.04 | $511.40 | $651.70 |