| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.26 | $428.26 | $428.26 | |
Aetna
| Professional | $428.26 | $428.26 | $428.26 | |
CareFirst
| Professional | $431.00 | $431.00 | $549.24 | |
Cigna
| Professional | $333.17 | $333.17 | $333.17 | |
Kaiser Permanente
| Professional | $522.25 | $522.25 | $1,594.92 | |
United
| Professional | $267.22 | $400.84 | $685.11 |