| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.24 | $429.24 | $429.24 | |
Aetna
| Professional | $429.24 | $429.24 | $429.24 | |
CareFirst
| Professional | $551.00 | $551.00 | $716.93 | |
Cigna
| Professional | $507.65 | $507.65 | $507.65 | |
Kaiser Permanente
| Professional | $681.70 | $681.70 | $2,081.87 | |
United
| Professional | $348.82 | $512.29 | $814.42 |