| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.47 | $549.47 | $549.47 | |
Aetna
| Professional | $549.47 | $549.47 | $755.88 | |
CareFirst
| Professional | $705.34 | $705.34 | $917.74 | |
Cigna
| Professional | $613.64 | $613.64 | $613.64 | |
Kaiser Permanente
| Professional | $872.64 | $872.64 | $2,664.97 | |
United
| Professional | $446.52 | $669.77 | $1,006.34 |