| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.07 | $431.07 | $431.07 | |
Aetna
| Professional | $431.07 | $431.07 | $431.07 | |
CareFirst
| Professional | $434.00 | $453.22 | $552.84 | |
Cigna
| Professional | $474.45 | $474.45 | $474.45 | |
Kaiser Permanente
| Professional | $525.66 | $525.66 | $1,605.37 | |
United
| Professional | $268.98 | $403.46 | $571.57 |