| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $314.91 | $323.64 | $572.59 | |
CareFirst
| Professional | $413.00 | $413.00 | $525.98 | |
Cigna
| Facility | $408.60 | $408.60 | $408.60 | |
Cigna
| Professional | $298.27 | $298.27 | $408.60 | |
Kaiser Permanente
| Professional | $538.60 | $769.43 | $1,107.98 | |
United
| Professional | $276.49 | $383.86 | $611.87 | |
Wellpoint
| Professional | $391.76 | $391.76 | $538.60 |