| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.43 | $458.43 | $458.43 | |
Aetna
| Professional | $458.43 | $458.43 | $458.43 | |
CareFirst
| Professional | $601.00 | $601.00 | $765.68 | |
Cigna
| Professional | $457.90 | $457.90 | $457.90 | |
Kaiser Permanente
| Professional | $728.05 | $728.05 | $2,223.42 | |
United
| Professional | $372.53 | $558.79 | $839.59 |