| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.73 | $310.73 | $310.73 | |
Aetna
| Professional | $310.73 | $310.73 | $615.59 | |
CareFirst
| Professional | $546.47 | $546.47 | $546.47 | |
Cigna
| Professional | $464.99 | $464.99 | $464.99 | |
Kaiser Permanente
| Professional | $420.93 | $420.93 | $1,278.00 | |
United
| Professional | $350.94 | $526.41 | $689.40 |