| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $341.48 | $341.48 | $341.48 | |
Aetna
| Professional | $341.48 | $341.48 | $341.48 | |
CareFirst
| Professional | $447.00 | $447.00 | $570.35 | |
Cigna
| Professional | $364.39 | $364.39 | $364.39 | |
Kaiser Permanente
| Professional | $542.30 | $542.30 | $1,656.20 | |
United
| Professional | $277.49 | $416.24 | $625.40 |