| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $849.42 | $965.25 | $1,065.64 | |
CareFirst
| Professional | $1,029.59 | $1,158.30 | $1,320.46 | |
Cigna
| Facility | $640.00 | $845.90 | $1,665.46 | |
Cigna
| Professional | $682.11 | $914.96 | $3,162.88 | |
Kaiser Permanente
| Professional | $1,287.00 | $1,544.40 | $1,930.50 | |
United
| Professional | $540.54 | $579.15 | $1,029.01 | |
Wellpoint
| Professional | $501.93 | $514.79 | $643.50 |