| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $372.58 | $372.58 | $380.18 | |
Aetna
| Professional | $364.23 | $380.18 | $920.03 | |
CareFirst
| Professional | $454.03 | $504.48 | $832.39 | |
Cigna
| Professional | $437.73 | $977.84 | $1,703.47 | |
Kaiser Permanente
| Professional | $413.53 | $911.36 | $911.36 | |
United
| Professional | $339.02 | $967.40 | $1,154.09 |