| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.45 | $510.45 | $510.45 | |
Aetna
| Professional | $510.45 | $510.45 | $510.45 | |
CareFirst
| Professional | $513.00 | $513.00 | $654.65 | |
Cigna
| Professional | $506.69 | $506.69 | $506.69 | |
Kaiser Permanente
| Professional | $622.48 | $622.48 | $1,901.02 | |
United
| Professional | $318.51 | $477.77 | $726.78 |