| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.03 | $345.03 | $345.03 | |
Aetna
| Professional | $345.03 | $345.03 | $345.03 | |
CareFirst
| Professional | $347.00 | $347.00 | $347.00 | |
Cigna
| Professional | $364.87 | $364.87 | $364.87 | |
Kaiser Permanente
| Professional | $420.75 | $420.75 | $1,284.95 | |
United
| Professional | $215.29 | $322.94 | $457.50 |