| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.85 | $231.60 | $320.08 | |
CareFirst
| Professional | $326.88 | $326.88 | $326.88 | |
Cigna
| Facility | $229.50 | $229.50 | $229.50 | |
Cigna
| Professional | $195.08 | $195.08 | $236.39 | |
Kaiser Permanente
| Professional | $305.75 | $393.11 | $471.73 | |
United
| Professional | $205.72 | $245.86 | $377.18 | |
Wellpoint
| Professional | $304.38 | $304.38 | $371.27 |