| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $653.37 | $775.50 | $1,247.94 | |
CareFirst
| Professional | $891.20 | $891.20 | $1,091.28 | |
Cigna
| Facility | $1,030.36 | $1,030.36 | $1,030.36 | |
Cigna
| Professional | $752.17 | $752.17 | $752.17 | |
Kaiser Permanente
| Professional | $1,117.47 | $1,596.38 | $2,298.79 | |
United
| Professional | $719.09 | $796.42 | $1,269.48 | |
Wellpoint
| Professional | $956.40 | $956.40 | $1,117.47 |