| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.52 | $350.52 | $350.52 | |
Aetna
| Professional | $350.52 | $350.52 | $350.52 | |
CareFirst
| Professional | $353.00 | $353.00 | $449.55 | |
Cigna
| Professional | $299.97 | $299.97 | $299.97 | |
Kaiser Permanente
| Professional | $427.45 | $427.45 | $1,305.42 | |
United
| Professional | $218.72 | $328.08 | $499.07 |