| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.38 | $649.38 | $649.38 | |
Aetna
| Professional | $649.38 | $649.38 | $649.38 | |
CareFirst
| Professional | $653.00 | $653.00 | $832.83 | |
Cigna
| Professional | $679.22 | $679.22 | $679.22 | |
Kaiser Permanente
| Professional | $791.90 | $791.90 | $2,418.40 | |
United
| Professional | $405.20 | $607.79 | $861.04 |