| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.79 | $561.79 | $561.79 | |
Aetna
| Professional | $561.79 | $561.79 | $561.79 | |
CareFirst
| Professional | $736.00 | $736.00 | $938.34 | |
Cigna
| Professional | $626.13 | $626.13 | $626.13 | |
Kaiser Permanente
| Professional | $892.23 | $892.23 | $2,724.81 | |
United
| Professional | $456.54 | $684.80 | $1,065.93 |