| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $389.05 | $389.05 | $398.11 | |
CareFirst
| Professional | $524.81 | $524.81 | $524.81 | |
Cigna
| Facility | $457.09 | $457.09 | $457.09 | |
Cigna
| Professional | $457.09 | $457.09 | $457.09 | |
Kaiser Permanente
| Professional | $501.19 | $501.19 | $501.19 | |
United
| Professional | $251.19 | $371.54 | $371.54 |