| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.22 | $482.22 | $482.22 | |
Aetna
| Professional | $482.22 | $482.22 | $482.22 | |
CareFirst
| Professional | $632.00 | $632.00 | $805.42 | |
Cigna
| Professional | $537.44 | $537.44 | $537.44 | |
Kaiser Permanente
| Professional | $765.84 | $765.84 | $2,338.82 | |
United
| Professional | $391.86 | $587.79 | $883.16 |