| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $582.79 | $582.79 | $582.79 | |
Aetna
| Professional | $582.79 | $582.79 | $582.79 | |
CareFirst
| Professional | $586.00 | $586.00 | $586.00 | |
Cigna
| Professional | $525.45 | $525.45 | $525.45 | |
Kaiser Permanente
| Professional | $710.70 | $710.70 | $2,170.44 | |
United
| Professional | $363.65 | $545.48 | $772.76 |