| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $205.53 | $248.30 | $392.56 | |
CareFirst
| Professional | $269.00 | $269.00 | $343.29 | |
Cigna
| Facility | $313.79 | $313.79 | $313.79 | |
Cigna
| Professional | $229.07 | $229.07 | $313.79 | |
Kaiser Permanente
| Professional | $351.53 | $502.18 | $723.14 | |
United
| Professional | $212.33 | $250.53 | $399.35 | |
Wellpoint
| Professional | $300.85 | $300.85 | $351.53 |