| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $396.04 | $396.04 | $396.04 | |
Aetna
| Professional | $396.04 | $396.04 | $396.04 | |
CareFirst
| Professional | $398.00 | $416.40 | $507.93 | |
Cigna
| Professional | $305.72 | $305.72 | $305.72 | |
Kaiser Permanente
| Professional | $482.96 | $482.96 | $1,474.95 | |
United
| Professional | $247.12 | $370.69 | $525.14 |