| 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 | $575.46 | |
CareFirst
| Professional | $426.92 | $426.92 | $426.92 | |
Cigna
| Professional | $426.92 | $426.92 | $543.71 | |
Kaiser Permanente
| Professional | $258.02 | $299.58 | $387.05 | |
United
| Professional | $528.91 | $560.66 | $645.28 |