| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.73 | $406.73 | $406.73 | |
Aetna
| Professional | $406.73 | $406.73 | $406.73 | |
CareFirst
| Professional | $533.00 | $533.00 | $679.34 | |
Cigna
| Professional | $453.31 | $453.31 | $453.31 | |
Kaiser Permanente
| Professional | $645.96 | $645.96 | $1,972.72 | |
United
| Professional | $330.52 | $495.79 | $771.71 |