| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $313.50 | $363.76 | $598.79 | |
CareFirst
| Professional | $411.00 | $411.00 | $523.63 | |
Cigna
| Facility | $550.80 | $550.80 | $550.80 | |
Cigna
| Professional | $402.09 | $402.09 | $550.80 | |
Kaiser Permanente
| Professional | $536.19 | $765.99 | $1,103.03 | |
United
| Professional | $345.04 | $382.15 | $609.14 | |
Wellpoint
| Professional | $458.91 | $458.91 | $536.19 |