| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.96 | $356.96 | $356.96 | |
Aetna
| Professional | $356.96 | $356.96 | $356.96 | |
CareFirst
| Professional | $359.00 | $359.00 | $359.00 | |
Cigna
| Professional | $385.78 | $385.78 | $385.78 | |
Kaiser Permanente
| Professional | $435.31 | $435.31 | $1,329.39 | |
United
| Professional | $222.74 | $334.10 | $508.24 |