| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.19 | $421.19 | $421.19 | |
Aetna
| Professional | $421.19 | $421.19 | $421.19 | |
CareFirst
| Professional | $424.00 | $424.00 | $424.00 | |
Cigna
| Professional | $430.29 | $430.29 | $430.29 | |
Kaiser Permanente
| Professional | $513.64 | $513.64 | $1,568.61 | |
United
| Professional | $262.82 | $394.23 | $558.49 |