| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.85 | $336.85 | $336.85 | |
Aetna
| Professional | $336.85 | $336.85 | $336.85 | |
CareFirst
| Professional | $661.48 | $760.38 | $760.38 | |
Cigna
| Professional | $553.84 | $553.84 | $553.84 | |
Kaiser Permanente
| Professional | $442.86 | $442.86 | $1,344.59 | |
United
| Professional | $401.52 | $602.27 | $774.79 |