| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.93 | $357.93 | $357.93 | |
Aetna
| Professional | $357.93 | $357.93 | $357.93 | |
CareFirst
| Professional | $469.00 | $469.00 | $469.00 | |
Cigna
| Professional | $412.98 | $412.98 | $412.98 | |
Kaiser Permanente
| Professional | $568.44 | $568.44 | $1,735.99 | |
United
| Professional | $290.86 | $436.30 | $655.53 |