| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.72 | $404.72 | $404.72 | |
Aetna
| Professional | $404.72 | $404.72 | $404.72 | |
CareFirst
| Professional | $407.00 | $407.00 | $519.05 | |
Cigna
| Professional | $353.63 | $353.63 | $353.63 | |
Kaiser Permanente
| Professional | $493.55 | $493.55 | $1,507.27 | |
United
| Professional | $252.54 | $378.82 | $536.66 |