| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.12 | $542.12 | $542.12 | |
Aetna
| Professional | $542.12 | $542.12 | $542.12 | |
CareFirst
| Professional | $545.00 | $545.00 | $695.27 | |
Cigna
| Professional | $425.95 | $425.95 | $425.95 | |
Kaiser Permanente
| Professional | $661.10 | $661.10 | $2,018.96 | |
United
| Professional | $338.27 | $507.41 | $771.87 |