| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $290.83 | $332.38 | $555.49 | |
CareFirst
| Professional | $334.00 | $334.00 | $334.00 | |
Cigna
| Facility | $389.66 | $389.66 | $389.66 | |
Cigna
| Professional | $284.45 | $284.45 | $389.66 | |
Kaiser Permanente
| Professional | $436.51 | $623.59 | $897.97 | |
United
| Professional | $280.89 | $351.47 | $493.32 | |
Wellpoint
| Professional | $377.34 | $377.34 | $461.60 |