| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $544.07 | $544.07 | $544.07 | |
Aetna
| Professional | $544.07 | $544.07 | $544.07 | |
CareFirst
| Professional | $547.00 | $547.00 | $697.77 | |
Cigna
| Professional | $482.03 | $482.03 | $482.03 | |
Kaiser Permanente
| Professional | $663.48 | $663.48 | $2,026.24 | |
United
| Professional | $339.49 | $509.24 | $721.42 |