| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.16 | $410.57 | $536.58 | |
CareFirst
| Professional | $545.52 | $545.52 | $545.52 | |
Cigna
| Facility | $647.96 | $647.96 | $647.96 | |
Cigna
| Professional | $473.01 | $550.77 | $647.96 | |
Kaiser Permanente
| Professional | $535.33 | $688.28 | $825.94 | |
United
| Professional | $331.79 | $425.83 | $696.31 | |
Wellpoint
| Professional | $547.04 | $547.04 | $650.04 |