| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.96 | $977.96 | $7,980.17 | |
Aetna
| Professional | $977.96 | $977.96 | $1,017.08 | |
CareFirst
| Professional | $1,043.16 | $1,043.16 | $1,043.16 | |
Cigna
| Facility | $2,118.92 | $2,203.67 | $4,740.02 | |
Cigna
| Professional | $1,513.35 | $1,513.35 | $1,663.18 | |
Kaiser Permanente
| Professional | $1,499.54 | $2,650.54 | $2,650.54 | |
United
| Professional | $469.55 | $670.79 | $1,186.57 |