| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.56 | $366.56 | $366.56 | |
Aetna
| Professional | $366.56 | $366.56 | $366.56 | |
CareFirst
| Professional | $369.00 | $369.00 | $470.11 | |
Cigna
| Professional | $311.89 | $311.89 | $311.89 | |
Kaiser Permanente
| Professional | $447.01 | $447.01 | $1,365.14 | |
United
| Professional | $228.73 | $343.09 | $486.05 |