| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.40 | $275.93 | $436.24 | |
CareFirst
| Professional | $299.00 | $299.00 | $381.49 | |
Cigna
| Facility | $419.04 | $419.04 | $419.04 | |
Cigna
| Professional | $305.89 | $305.89 | $419.04 | |
Kaiser Permanente
| Professional | $390.65 | $558.07 | $803.62 | |
United
| Professional | $251.38 | $278.41 | $443.78 | |
Wellpoint
| Professional | $334.34 | $334.34 | $390.65 |