| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,325.60 | $2,325.60 | $2,325.60 | |
Aetna
| Professional | $285.00 | $285.00 | $296.39 | |
CareFirst
| Professional | $304.00 | $304.00 | $304.00 | |
Cigna
| Facility | $617.50 | $642.20 | $1,382.01 | |
Cigna
| Professional | $441.32 | $441.32 | $485.02 | |
Kaiser Permanente
| Professional | $437.00 | $772.43 | $772.43 | |
United
| Professional | $159.60 | $228.00 | $604.20 |