| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.77 | $357.77 | $357.77 | |
Aetna
| Professional | $357.77 | $357.77 | $357.77 | |
CareFirst
| Professional | $360.00 | $360.00 | $458.84 | |
Cigna
| Professional | $306.17 | $306.17 | $306.17 | |
Kaiser Permanente
| Professional | $436.29 | $436.29 | $1,332.39 | |
United
| Professional | $223.24 | $334.86 | $474.39 |