| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.58 | $466.58 | $466.58 | |
Aetna
| Professional | $466.58 | $466.58 | $466.58 | |
CareFirst
| Professional | $469.00 | $469.00 | $598.39 | |
Cigna
| Professional | $447.45 | $447.45 | $447.45 | |
Kaiser Permanente
| Professional | $568.98 | $568.98 | $1,737.63 | |
United
| Professional | $291.14 | $436.70 | $618.66 |