| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $362.59 | $450.69 | $790.74 | |
CareFirst
| Professional | $674.05 | $674.05 | $674.05 | |
Cigna
| Facility | $407.96 | $407.96 | $407.96 | |
Cigna
| Professional | $346.77 | $346.77 | $407.96 | |
Kaiser Permanente
| Professional | $524.40 | $612.07 | $994.27 | |
United
| Professional | $344.02 | $441.80 | $731.25 | |
Wellpoint
| Professional | $524.17 | $524.17 | $665.38 |