| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.02 | $147.34 | $263.62 | |
CareFirst
| Professional | $188.25 | $188.25 | $230.53 | |
Cigna
| Facility | $192.91 | $192.91 | $192.91 | |
Cigna
| Professional | $140.82 | $140.82 | $192.91 | |
Kaiser Permanente
| Professional | $236.06 | $337.23 | $485.61 | |
United
| Professional | $130.54 | $168.24 | $268.17 | |
Wellpoint
| Professional | $184.96 | $184.96 | $236.06 |