| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.65 | $369.65 | $369.65 | |
Aetna
| Professional | $369.65 | $369.65 | $369.65 | |
CareFirst
| Professional | $543.13 | $543.13 | $617.39 | |
Cigna
| Professional | $421.12 | $421.12 | $421.12 | |
Kaiser Permanente
| Professional | $587.04 | $587.04 | $1,792.82 | |
United
| Facility | $1,322.59 | $1,322.59 | $1,322.59 | |
United
| Professional | $300.38 | $450.58 | $843.50 |