| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.38 | $512.86 | $891.25 | |
CareFirst
| Professional | $602.56 | $602.56 | $691.83 | |
Cigna
| Facility | $707.95 | $707.95 | $707.95 | |
Cigna
| Professional | $512.86 | $512.86 | $707.95 | |
Kaiser Permanente
| Professional | $707.95 | $1,000.00 | $1,513.56 | |
United
| Facility | $302.00 | $436.52 | $676.08 | |
United
| Professional | $407.38 | $489.78 | $794.33 | |
Wellpoint
| Professional | $371.54 | $537.03 | $831.76 |