| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.25 | $429.25 | $429.25 | |
Aetna
| Professional | $429.25 | $429.25 | $429.25 | |
CareFirst
| Professional | $432.00 | $432.00 | $550.51 | |
Cigna
| Professional | $311.80 | $311.80 | $311.80 | |
Kaiser Permanente
| Professional | $523.45 | $523.45 | $1,598.60 | |
United
| Professional | $267.83 | $401.76 | $686.69 |