| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.47 | $305.47 | $305.47 | |
Aetna
| Professional | $305.47 | $305.47 | $586.95 | |
CareFirst
| Professional | $567.09 | $567.09 | $567.09 | |
Cigna
| Professional | $472.90 | $472.90 | $472.90 | |
Kaiser Permanente
| Professional | $401.56 | $401.56 | $1,219.17 | |
United
| Professional | $364.18 | $546.27 | $715.40 |