| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $449.58 | $449.58 | $449.58 | |
Aetna
| Professional | $449.58 | $449.58 | $449.58 | |
CareFirst
| Professional | $426.92 | $426.92 | $426.92 | |
Cigna
| Facility | $426.92 | $426.92 | $426.92 | |
Kaiser Permanente
| Professional | $587.10 | $587.10 | $587.10 | |
United
| Professional | $523.63 | $560.66 | $778.58 |