| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.94 | $486.94 | $486.94 | |
Aetna
| Professional | $486.94 | $486.94 | $486.94 | |
CareFirst
| Professional | $638.00 | $638.00 | $813.30 | |
Cigna
| Professional | $521.23 | $521.23 | $521.23 | |
Kaiser Permanente
| Professional | $773.32 | $773.32 | $2,361.69 | |
United
| Professional | $395.70 | $593.54 | $891.81 |