| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $665.09 | $760.00 | $1,239.18 | |
CareFirst
| Professional | $905.55 | $905.55 | $1,059.50 | |
Cigna
| Facility | $1,111.22 | $1,111.22 | $1,111.22 | |
Cigna
| Professional | $811.19 | $811.19 | $811.19 | |
Kaiser Permanente
| Professional | $1,084.93 | $1,549.90 | $2,231.86 | |
United
| Professional | $698.15 | $799.82 | $1,226.11 | |
Wellpoint
| Professional | $858.60 | $858.60 | $1,084.93 |