| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.34 | $362.34 | $362.34 | |
Aetna
| Professional | $362.34 | $362.34 | $362.34 | |
CareFirst
| Professional | $475.00 | $475.00 | $605.19 | |
Cigna
| Professional | $365.83 | $365.83 | $365.83 | |
Kaiser Permanente
| Professional | $575.45 | $575.45 | $1,757.37 | |
United
| Professional | $294.44 | $441.67 | $663.60 |