| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.24 | $454.24 | $454.24 | |
Aetna
| Professional | $454.24 | $454.24 | $454.24 | |
CareFirst
| Professional | $595.00 | $595.00 | $758.70 | |
Cigna
| Professional | $540.80 | $540.80 | $540.80 | |
Kaiser Permanente
| Professional | $721.41 | $721.41 | $2,203.14 | |
United
| Professional | $369.13 | $553.69 | $861.86 |