| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $592.67 | $592.67 | $592.67 | |
Aetna
| Professional | $592.67 | $592.67 | $592.67 | |
CareFirst
| Professional | $776.00 | $776.00 | $776.00 | |
Cigna
| Professional | $607.73 | $607.73 | $607.73 | |
Kaiser Permanente
| Professional | $941.27 | $941.27 | $2,874.56 | |
United
| Professional | $481.62 | $722.44 | $1,519.60 |