| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.39 | $642.53 | $1,001.39 | |
CareFirst
| Professional | $653.00 | $682.75 | $832.83 | |
Cigna
| Facility | $930.44 | $930.44 | $930.44 | |
Cigna
| Professional | $679.22 | $679.22 | $930.44 | |
Kaiser Permanente
| Professional | $852.81 | $1,218.30 | $1,754.35 | |
United
| Professional | $548.78 | $607.79 | $963.79 | |
Wellpoint
| Professional | $700.16 | $700.16 | $852.81 |