| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.08 | $349.08 | $349.08 | |
Aetna
| Professional | $349.08 | $349.08 | $349.08 | |
CareFirst
| Professional | $398.41 | $398.41 | $447.70 | |
Cigna
| Professional | $316.87 | $316.87 | $316.87 | |
Kaiser Permanente
| Professional | $425.70 | $425.70 | $1,300.05 | |
United
| Professional | $217.82 | $326.73 | $420.32 |