| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.78 | $743.78 | $1,974.90 | |
CareFirst
| Professional | $127.38 | $128.69 | $205.92 | |
Cigna
| Facility | $202.58 | $599.00 | $4,939.00 | |
Cigna
| Professional | $119.74 | $344.69 | $2,155.48 | |
Kaiser Permanente
| Professional | $1,031.74 | $1,501.49 | $2,341.98 | |
United
| Facility | $214.00 | $322.00 | $1,008.00 | |
United
| Professional | $967.49 | $1,326.72 | $2,223.34 | |
Wellpoint
| Professional | $107.08 | $1,438.93 | $1,771.16 |