| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.65 | $361.65 | $361.65 | |
Aetna
| Professional | $361.65 | $361.65 | $361.65 | |
CareFirst
| Professional | $364.00 | $364.00 | $463.81 | |
Cigna
| Professional | $344.78 | $344.78 | $344.78 | |
Kaiser Permanente
| Professional | $441.03 | $441.03 | $1,346.85 | |
United
| Professional | $225.66 | $338.50 | $479.54 |