| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.28 | $226.72 | $410.10 | |
CareFirst
| Professional | $248.00 | $248.00 | $248.00 | |
Cigna
| Facility | $366.26 | $366.26 | $366.26 | |
Cigna
| Professional | $267.37 | $267.37 | $366.26 | |
Kaiser Permanente
| Professional | $323.64 | $462.35 | $665.78 | |
United
| Professional | $208.27 | $238.59 | $365.76 | |
Wellpoint
| Professional | $264.07 | $264.07 | $323.64 |