| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.82 | $466.82 | $466.82 | |
Aetna
| Professional | $466.82 | $466.82 | $466.82 | |
CareFirst
| Professional | $470.00 | $490.81 | $598.70 | |
Cigna
| Professional | $507.72 | $507.72 | $507.72 | |
Kaiser Permanente
| Professional | $569.28 | $569.28 | $1,738.53 | |
United
| Professional | $291.29 | $436.93 | $618.99 |