| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $430.24 | $529.85 | $688.43 | |
CareFirst
| Professional | $381.30 | $381.30 | $629.14 | |
Cigna
| Facility | $624.92 | $624.92 | $624.92 | |
Cigna
| Professional | $465.85 | $610.61 | $1,101.94 | |
Kaiser Permanente
| Professional | $499.10 | $655.07 | $935.82 | |
United
| Professional | $283.06 | $404.55 | $636.89 | |
Wellpoint
| Professional | $316.07 | $316.07 | $316.07 |