| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $401.32 | $401.32 | $401.32 | |
Aetna
| Professional | $401.32 | $401.32 | $401.32 | |
CareFirst
| Professional | $596.54 | $596.54 | $670.31 | |
Cigna
| Professional | $423.04 | $423.04 | $423.04 | |
Kaiser Permanente
| Professional | $637.36 | $637.36 | $1,946.47 | |
United
| Professional | $326.13 | $489.19 | $761.45 |