| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.87 | $545.87 | $545.87 | |
Aetna
| Professional | $545.87 | $545.87 | $545.87 | |
CareFirst
| Professional | $715.00 | $715.00 | $911.73 | |
Cigna
| Professional | $549.07 | $549.07 | $549.07 | |
Kaiser Permanente
| Professional | $866.92 | $866.92 | $2,647.53 | |
United
| Professional | $443.59 | $620.12 | $999.74 |