| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $614.36 | $614.36 | $614.36 | |
Aetna
| Professional | $614.36 | $614.36 | $614.36 | |
CareFirst
| Professional | $618.00 | $618.00 | $787.93 | |
Cigna
| Professional | $592.91 | $592.91 | $592.91 | |
Kaiser Permanente
| Professional | $749.20 | $749.20 | $2,288.03 | |
United
| Professional | $383.35 | $575.03 | $982.84 |