| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,904.75 | $2,904.75 | $23,702.80 | |
Aetna
| Professional | $2,904.75 | $2,904.75 | $3,020.94 | |
CareFirst
| Professional | $3,098.40 | $3,098.40 | $3,098.40 | |
Cigna
| Facility | $6,293.63 | $6,545.37 | $14,079.59 | |
Cigna
| Professional | $4,494.99 | $4,494.99 | $4,940.04 | |
Kaiser Permanente
| Professional | $4,453.95 | $7,872.65 | $7,872.65 | |
United
| Professional | $1,626.66 | $2,323.80 | $6,158.07 |