| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.30 | $326.30 | $326.30 | |
Aetna
| Professional | $326.30 | $326.30 | $326.30 | |
CareFirst
| Professional | $640.71 | $736.57 | $736.57 | |
Cigna
| Professional | $537.70 | $537.70 | $537.70 | |
Kaiser Permanente
| Professional | $428.95 | $428.95 | $1,302.36 | |
United
| Professional | $389.00 | $583.50 | $750.64 |