| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.77 | $517.77 | $517.77 | |
Aetna
| Professional | $517.77 | $517.77 | $517.77 | |
CareFirst
| Professional | $797.81 | $797.81 | $864.79 | |
Cigna
| Professional | $528.16 | $528.16 | $528.16 | |
Kaiser Permanente
| Professional | $822.30 | $822.30 | $2,511.23 | |
United
| Professional | $420.76 | $631.13 | $948.28 |