| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.56 | $496.56 | $496.56 | |
Aetna
| Professional | $496.56 | $496.56 | $496.56 | |
CareFirst
| Professional | $651.00 | $651.00 | $829.37 | |
Cigna
| Professional | $497.03 | $497.03 | $497.03 | |
Kaiser Permanente
| Professional | $788.61 | $788.61 | $2,408.36 | |
United
| Professional | $403.52 | $605.27 | $778.66 |