| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $372.33 | $372.33 | $372.33 | |
Aetna
| Professional | $372.33 | $372.33 | $372.33 | |
CareFirst
| Professional | $375.00 | $391.46 | $477.52 | |
Cigna
| Professional | $405.70 | $405.70 | $405.70 | |
Kaiser Permanente
| Professional | $454.05 | $454.05 | $1,386.65 | |
United
| Professional | $232.33 | $348.49 | $493.70 |