| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $730.39 | $730.39 | $730.39 | |
Aetna
| Professional | $730.39 | $730.39 | $730.39 | |
CareFirst
| Professional | $735.00 | $735.00 | $735.00 | |
Cigna
| Professional | $635.47 | $635.47 | $635.47 | |
Kaiser Permanente
| Professional | $890.69 | $890.69 | $2,720.10 | |
United
| Professional | $455.75 | $683.62 | $968.46 |