| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $634.79 | $677.68 | $1,212.47 | |
CareFirst
| Professional | $865.87 | $865.87 | $1,060.26 | |
Cigna
| Facility | $1,115.23 | $1,115.23 | $1,115.23 | |
Cigna
| Professional | $814.12 | $814.12 | $1,115.23 | |
Kaiser Permanente
| Professional | $1,085.70 | $1,551.00 | $2,233.44 | |
United
| Professional | $640.10 | $773.78 | $1,233.40 | |
Wellpoint
| Professional | $850.48 | $850.48 | $1,085.70 |