| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $521.86 | $521.86 | $521.86 | |
Aetna
| Professional | $521.86 | $521.86 | $521.86 | |
CareFirst
| Professional | $684.00 | $684.00 | $871.62 | |
Cigna
| Professional | $771.87 | $771.87 | $771.87 | |
Kaiser Permanente
| Professional | $828.79 | $828.79 | $2,531.06 | |
United
| Professional | $424.08 | $636.11 | $955.76 |