| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.01 | $369.01 | $369.01 | |
Aetna
| Professional | $369.01 | $369.01 | $369.01 | |
CareFirst
| Professional | $371.00 | $387.97 | $473.26 | |
Cigna
| Professional | $315.80 | $315.80 | $315.80 | |
Kaiser Permanente
| Professional | $450.00 | $450.00 | $1,374.29 | |
United
| Professional | $230.26 | $345.39 | $489.30 |