| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.66 | $561.66 | $561.66 | |
Aetna
| Professional | $561.66 | $561.66 | $561.66 | |
CareFirst
| Professional | $876.61 | $876.61 | $938.11 | |
Cigna
| Professional | $662.45 | $662.45 | $662.45 | |
Kaiser Permanente
| Professional | $892.00 | $892.00 | $2,724.12 | |
United
| Professional | $456.42 | $684.64 | $1,028.67 |