| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $483.14 | $483.14 | $483.14 | |
Aetna
| Professional | $483.14 | $483.14 | $483.14 | |
CareFirst
| Professional | $620.20 | $620.20 | $620.20 | |
Cigna
| Professional | $689.51 | $689.51 | $689.51 | |
Kaiser Permanente
| Professional | $767.31 | $767.31 | $2,343.30 | |
United
| Professional | $392.62 | $588.91 | $884.86 |