| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.00 | $425.00 | $425.00 | |
Aetna
| Professional | $415.00 | $425.00 | $544.00 | |
CareFirst
| Professional | $705.36 | $705.36 | $705.36 | |
Cigna
| Professional | $432.81 | $432.81 | $432.81 | |
Kaiser Permanente
| Professional | $517.28 | $655.44 | $1,016.80 | |
United
| Professional | $500.00 | $500.00 | $512.54 |