| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $517.50 | $598.87 | $684.86 | |
CareFirst
| Professional | $597.00 | $597.00 | $663.00 | |
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Cigna
| Professional | $542.32 | $774.11 | $1,292.56 | |
Kaiser Permanente
| Professional | $634.89 | $821.30 | $1,259.53 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 | |
United
| Professional | $233.05 | $543.91 | $1,097.48 | |
Wellpoint
| Professional | $475.05 | $475.05 | $475.05 |