| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.10 | $552.10 | $552.10 | |
Aetna
| Professional | $485.39 | $552.10 | $583.39 | |
CareFirst
| Professional | $381.30 | $381.30 | $589.71 | |
Cigna
| Professional | $489.79 | $618.29 | $1,978.57 | |
Kaiser Permanente
| Professional | $530.29 | $623.88 | $1,278.06 | |
United
| Professional | $258.70 | $376.79 | $932.43 |