| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $422.23 | $422.23 | $422.23 | |
Aetna
| Professional | $422.23 | $422.23 | $422.23 | |
CareFirst
| Professional | $441.64 | $441.64 | $541.51 | |
Cigna
| Professional | $383.42 | $383.42 | $383.42 | |
Kaiser Permanente
| Professional | $514.90 | $514.90 | $1,572.48 | |
United
| Professional | $263.45 | $395.20 | $544.88 |