| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.35 | $465.35 | $465.35 | |
Aetna
| Professional | $465.35 | $465.35 | $465.35 | |
CareFirst
| Professional | $610.00 | $610.00 | $777.24 | |
Cigna
| Professional | $414.55 | $414.55 | $414.55 | |
Kaiser Permanente
| Professional | $739.04 | $739.04 | $2,256.98 | |
United
| Professional | $378.15 | $567.23 | $1,193.13 |