| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.10 | $328.10 | $328.10 | |
Aetna
| Professional | $328.10 | $328.10 | $481.47 | |
CareFirst
| Professional | $430.00 | $430.00 | $430.00 | |
Cigna
| Professional | $397.66 | $397.66 | $397.66 | |
Kaiser Permanente
| Professional | $521.07 | $521.07 | $1,591.32 | |
United
| Professional | $266.62 | $399.93 | $600.89 |