| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.27 | $466.27 | $466.27 | |
Aetna
| Professional | $466.27 | $466.27 | $466.27 | |
CareFirst
| Professional | $469.00 | $469.00 | $598.00 | |
Cigna
| Professional | $491.37 | $491.37 | $491.37 | |
Kaiser Permanente
| Professional | $568.61 | $568.61 | $1,736.49 | |
United
| Professional | $290.94 | $436.42 | $745.92 |