| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.35 | $441.35 | $441.35 | |
Aetna
| Professional | $441.35 | $441.35 | $441.35 | |
CareFirst
| Professional | $602.01 | $602.01 | $737.16 | |
Cigna
| Professional | $519.62 | $519.62 | $519.62 | |
Kaiser Permanente
| Professional | $700.94 | $700.94 | $2,140.62 | |
United
| Professional | $358.66 | $537.98 | $692.09 |