| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.54 | $374.54 | $374.54 | |
Aetna
| Professional | $374.54 | $374.54 | $374.54 | |
CareFirst
| Professional | $427.48 | $427.48 | $480.35 | |
Cigna
| Professional | $411.98 | $411.98 | $411.98 | |
Kaiser Permanente
| Professional | $456.75 | $456.75 | $1,394.88 | |
United
| Professional | $233.71 | $350.56 | $599.17 |