| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.50 | $429.50 | $429.50 | |
Aetna
| Professional | $429.50 | $429.50 | $429.50 | |
CareFirst
| Professional | $638.41 | $638.41 | $638.41 | |
Cigna
| Professional | $533.91 | $533.91 | $533.91 | |
Kaiser Permanente
| Professional | $682.11 | $682.11 | $2,083.11 | |
United
| Professional | $349.02 | $523.53 | $786.60 |