| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.56 | $356.56 | $356.56 | |
Aetna
| Professional | $356.56 | $356.56 | $356.56 | |
CareFirst
| Professional | $359.00 | $359.00 | $359.00 | |
Cigna
| Professional | $335.73 | $335.73 | $335.73 | |
Kaiser Permanente
| Professional | $434.82 | $434.82 | $1,327.90 | |
United
| Professional | $222.49 | $333.74 | $472.80 |