| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.86 | $431.86 | $431.86 | |
Aetna
| Professional | $431.86 | $431.86 | $580.03 | |
CareFirst
| Professional | $634.37 | $634.37 | $721.30 | |
Cigna
| Professional | $512.48 | $512.48 | $512.48 | |
Kaiser Permanente
| Professional | $685.85 | $685.85 | $2,094.56 | |
United
| Professional | $350.94 | $526.41 | $790.94 |