| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $503.65 | $503.65 | $503.65 | |
Aetna
| Professional | $503.65 | $503.65 | $503.65 | |
CareFirst
| Professional | $686.96 | $686.96 | $841.22 | |
Cigna
| Professional | $541.58 | $541.58 | $541.58 | |
Kaiser Permanente
| Professional | $799.88 | $799.88 | $2,442.78 | |
United
| Professional | $409.28 | $613.91 | $1,291.33 |