| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.09 | $400.09 | $400.09 | |
Aetna
| Professional | $400.09 | $400.09 | $400.09 | |
CareFirst
| Professional | $402.00 | $402.00 | $513.11 | |
Cigna
| Professional | $354.47 | $354.47 | $354.47 | |
Kaiser Permanente
| Professional | $487.90 | $487.90 | $1,490.01 | |
United
| Professional | $249.65 | $374.47 | $640.04 |