| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.98 | $238.98 | $287.22 | |
CareFirst
| Professional | $400.10 | $400.10 | $400.10 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $153.11 | $180.13 | |
Kaiser Permanente
| Professional | $581.00 | $581.00 | $700.00 | |
Wellpoint
| Professional | $357.47 | $357.47 | $357.47 |