| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.21 | $404.21 | $404.21 | |
Aetna
| Professional | $404.21 | $404.21 | $404.21 | |
CareFirst
| Professional | $600.84 | $600.84 | $675.13 | |
Cigna
| Professional | $518.38 | $518.38 | $518.38 | |
Kaiser Permanente
| Professional | $641.95 | $641.95 | $1,960.48 | |
United
| Professional | $328.48 | $492.71 | $922.38 |