| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $355.52 | $413.73 | $701.74 | |
CareFirst
| Professional | $513.00 | $513.00 | $576.44 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $385.98 | $528.74 | |
Kaiser Permanente
| Professional | $590.27 | $843.24 | $1,214.27 | |
United
| Professional | $379.85 | $435.16 | $667.09 | |
Wellpoint
| Professional | $485.31 | $485.31 | $590.27 |