| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $431.59 | $465.35 | $795.78 | |
CareFirst
| Professional | $610.00 | $610.00 | $777.24 | |
Cigna
| Facility | $567.88 | $567.88 | $567.88 | |
Cigna
| Professional | $414.55 | $414.55 | $414.55 | |
Kaiser Permanente
| Professional | $795.89 | $1,136.99 | $1,637.27 | |
United
| Professional | $394.70 | $567.23 | $904.16 | |
Wellpoint
| Professional | $544.46 | $544.46 | $795.89 |