| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $354.81 | $478.63 | $724.44 | |
CareFirst
| Professional | $426.58 | $478.63 | $549.54 | |
Cigna
| Facility | $316.23 | $389.05 | $776.25 | |
Cigna
| Professional | $316.23 | $389.05 | $1,047.13 | |
Kaiser Permanente
| Professional | $602.56 | $691.83 | $891.25 | |
United
| Facility | $251.19 | $281.84 | $602.56 | |
United
| Professional | $251.19 | $269.15 | $537.03 | |
Wellpoint
| Professional | $234.42 | $478.63 | $891.25 |