| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.78 | $494.78 | $494.78 | |
Aetna
| Professional | $494.78 | $494.78 | $494.78 | |
CareFirst
| Professional | $648.00 | $648.00 | $648.00 | |
Cigna
| Professional | $551.42 | $551.42 | $551.42 | |
Kaiser Permanente
| Professional | $785.78 | $785.78 | $2,399.71 | |
United
| Professional | $402.07 | $603.10 | $906.16 |