| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $437.85 | $539.64 | $778.56 | |
CareFirst
| Professional | $871.20 | $871.20 | $871.20 | |
Cigna
| Facility | $546.85 | $546.85 | $546.85 | |
Cigna
| Professional | $81.44 | $739.60 | $739.60 | |
Kaiser Permanente
| Professional | $843.26 | $994.13 | $1,322.19 | |
United
| Professional | $51.01 | $77.70 | $525.48 | |
Wellpoint
| Professional | $677.47 | $677.47 | $772.91 |