| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.04 | $376.04 | $376.04 | |
Aetna
| Professional | $376.04 | $376.04 | $376.04 | |
CareFirst
| Professional | $378.00 | $378.00 | $482.27 | |
Cigna
| Professional | $327.45 | $327.45 | $327.45 | |
Kaiser Permanente
| Professional | $458.57 | $458.57 | $1,400.43 | |
United
| Professional | $234.64 | $351.96 | $498.61 |