| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.83 | $276.83 | $276.83 | |
Aetna
| Professional | $276.83 | $276.83 | $276.83 | |
CareFirst
| Professional | $449.98 | $449.98 | $462.38 | |
Cigna
| Professional | $319.38 | $319.38 | $319.38 | |
Kaiser Permanente
| Professional | $439.65 | $439.65 | $1,342.68 | |
United
| Professional | $224.96 | $337.45 | $507.01 |