| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $645.36 | $794.77 | $1,032.09 | |
CareFirst
| Professional | $531.95 | $531.95 | $877.72 | |
Cigna
| Facility | $937.40 | $937.40 | $937.40 | |
Cigna
| Professional | $698.76 | $916.62 | $1,652.92 | |
Kaiser Permanente
| Professional | $748.66 | $982.61 | $1,403.73 | |
United
| Professional | $383.09 | $556.07 | $890.86 | |
Wellpoint
| Professional | $473.88 | $473.88 | $473.88 |