| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $456.54 | $456.54 | $456.54 | |
Aetna
| Professional | $456.54 | $456.54 | $456.54 | |
CareFirst
| Professional | $521.08 | $521.08 | $521.08 | |
Cigna
| Professional | $455.91 | $455.91 | $455.91 | |
Kaiser Permanente
| Professional | $556.74 | $556.74 | $1,700.25 | |
United
| Professional | $284.88 | $427.31 | $605.36 |