| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $608.16 | $608.16 | $608.16 | |
Aetna
| Professional | $608.16 | $608.16 | $608.16 | |
CareFirst
| Professional | $612.00 | $612.00 | $779.98 | |
Cigna
| Professional | $638.96 | $638.96 | $638.96 | |
Kaiser Permanente
| Professional | $741.64 | $741.64 | $2,264.94 | |
United
| Professional | $379.48 | $569.23 | $806.40 |