| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.31 | $275.70 | $275.70 | |
CareFirst
| Professional | $378.50 | $378.50 | $378.50 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Cigna
| Professional | $192.64 | $192.64 | $192.64 | |
Kaiser Permanente
| Professional | $597.00 | $597.00 | $719.00 | |
Wellpoint
| Professional | $357.47 | $357.47 | $357.47 |