| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.47 | $307.47 | $744.07 | |
Aetna
| Professional | $307.47 | $307.47 | $307.47 | |
CareFirst
| Professional | $457.04 | $457.04 | $513.54 | |
Cigna
| Professional | $356.63 | $356.63 | $356.63 | |
Kaiser Permanente
| Professional | $488.31 | $488.31 | $1,491.27 | |
United
| Professional | $249.86 | $374.79 | $563.12 |