| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.86 | $377.86 | $377.86 | |
Aetna
| Professional | $377.86 | $377.86 | $377.86 | |
CareFirst
| Professional | $380.00 | $380.00 | $484.61 | |
Cigna
| Professional | $334.77 | $334.77 | $334.77 | |
Kaiser Permanente
| Professional | $460.79 | $460.79 | $1,407.24 | |
United
| Professional | $235.78 | $353.67 | $538.00 |