| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.41 | $529.41 | $529.41 | |
Aetna
| Professional | $529.41 | $529.41 | $617.22 | |
CareFirst
| Professional | $694.00 | $694.00 | $884.24 | |
Cigna
| Professional | $511.00 | $511.00 | $511.00 | |
Kaiser Permanente
| Professional | $840.79 | $840.79 | $2,567.71 | |
United
| Professional | $430.22 | $601.42 | $969.60 |