| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $243.71 | $247.40 | $247.40 | |
CareFirst
| Professional | $378.50 | $378.50 | $378.50 | |
Cigna
| Facility | $170.83 | $170.83 | $170.83 | |
Cigna
| Professional | $145.21 | $145.21 | $170.83 | |
Kaiser Permanente
| Professional | $392.00 | $392.00 | $473.00 | |
Wellpoint
| Professional | $357.47 | $357.47 | $357.47 |