| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $479.76 | $831.33 | $1,139.97 | |
CareFirst
| Professional | $679.05 | $746.96 | $866.28 | |
Cigna
| Facility | $359.90 | $474.50 | $1,310.69 | |
Cigna
| Professional | $359.90 | $535.88 | $1,872.96 | |
Kaiser Permanente
| Professional | $1,295.63 | $1,499.54 | $1,955.93 | |
United
| Facility | $285.20 | $285.20 | $285.20 | |
United
| Professional | $305.57 | $407.43 | $847.57 | |
Wellpoint
| Professional | $264.83 | $335.33 | $651.98 |