| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,139.38 | $4,139.38 | $4,139.38 | |
CareFirst
| Professional | $541.10 | $541.10 | $541.10 | |
Cigna
| Facility | $1,099.09 | $1,143.06 | $2,459.29 | |
Cigna
| Professional | $785.04 | $785.04 | $862.77 | |
Kaiser Permanente
| Professional | $777.83 | $1,374.86 | $1,374.86 | |
United
| Professional | $284.08 | $405.82 | $1,075.43 |