| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.38 | $598.38 | $598.38 | |
Aetna
| Professional | $598.38 | $598.38 | $598.38 | |
CareFirst
| Professional | $784.00 | $784.00 | $999.44 | |
Cigna
| Professional | $648.52 | $648.52 | $648.52 | |
Kaiser Permanente
| Professional | $950.33 | $950.33 | $2,902.23 | |
United
| Professional | $486.26 | $729.40 | $1,095.92 |