| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.69 | $652.76 | $815.94 | |
Aetna
| Professional | $223.76 | $233.25 | $329.39 | |
CareFirst
| Professional | $247.50 | $275.00 | $453.75 | |
Cigna
| Professional | $287.52 | $727.13 | $1,141.65 | |
Kaiser Permanente
| Professional | $287.89 | $589.69 | $589.69 | |
United
| Professional | $178.54 | $562.54 | $667.00 |