| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $398.11 | $398.11 | |
Aetna
| Professional | $389.05 | $467.74 | $537.03 | |
CareFirst
| Professional | $60.26 | $602.56 | $645.65 | |
Cigna
| Professional | $645.65 | $645.65 | $645.65 | |
Kaiser Permanente
| Professional | $602.56 | $1,348.96 | $1,412.54 | |
United
| Professional | $316.23 | $478.63 | $776.25 |