| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.91 | $440.91 | $440.91 | |
Aetna
| Professional | $440.91 | $440.91 | $440.91 | |
CareFirst
| Professional | $581.94 | $581.94 | $736.42 | |
Cigna
| Professional | $449.88 | $449.88 | $449.88 | |
Kaiser Permanente
| Professional | $700.23 | $700.23 | $2,138.46 | |
United
| Professional | $358.30 | $537.44 | $836.55 |