| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.69 | $156.53 | $282.81 | |
CareFirst
| Professional | $209.15 | $209.15 | $235.00 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $155.47 | $287.50 | |
Kaiser Permanente
| Professional | $240.65 | $343.78 | $495.04 | |
United
| Professional | $141.87 | $171.50 | $273.37 | |
Wellpoint
| Professional | $188.50 | $188.50 | $240.65 |