| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.89 | $508.89 | $508.89 | |
Aetna
| Professional | $508.89 | $508.89 | $508.89 | |
CareFirst
| Professional | $512.00 | $512.00 | $563.20 | |
Cigna
| Professional | $435.50 | $435.50 | $435.50 | |
Kaiser Permanente
| Professional | $620.59 | $620.59 | $1,895.23 | |
United
| Professional | $317.54 | $476.31 | $674.77 |