| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.61 | $465.61 | $465.61 | |
Aetna
| Professional | $411.58 | $465.61 | $516.30 | |
CareFirst
| Professional | $573.84 | $573.84 | $763.21 | |
Cigna
| Professional | $418.29 | $526.95 | $2,085.94 | |
Kaiser Permanente
| Professional | $451.27 | $530.91 | $1,105.75 | |
United
| Professional | $335.44 | $422.44 | $1,330.25 |