| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.14 | $2,041.48 | $2,453.11 | |
Aetna
| Professional | $280.14 | $280.14 | $280.14 | |
CareFirst
| Professional | $293.39 | $293.39 | $293.39 | |
Cigna
| Professional | $357.52 | $357.52 | $357.52 | |
Kaiser Permanente
| Professional | $341.63 | $341.63 | $1,043.30 | |
United
| Professional | $174.80 | $262.20 | $371.46 |