| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.39 | $351.39 | $351.39 | |
Aetna
| Professional | $351.39 | $351.39 | $351.39 | |
CareFirst
| Professional | $368.04 | $369.45 | $450.65 | |
Cigna
| Professional | $318.98 | $318.98 | $318.98 | |
Kaiser Permanente
| Professional | $428.51 | $428.51 | $1,308.63 | |
United
| Professional | $219.26 | $328.89 | $465.93 |