| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.91 | $314.91 | $314.91 | |
Aetna
| Professional | $314.91 | $314.91 | $314.91 | |
CareFirst
| Professional | $413.00 | $413.00 | $525.98 | |
Cigna
| Professional | $298.27 | $298.27 | $298.27 | |
Kaiser Permanente
| Professional | $500.13 | $500.13 | $1,527.37 | |
United
| Professional | $255.91 | $383.86 | $576.75 |