| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,918.45 | $3,918.45 | $31,974.60 | |
Aetna
| Professional | $3,918.45 | $3,918.45 | $4,075.19 | |
CareFirst
| Professional | $4,179.68 | $4,179.68 | $4,179.68 | |
Cigna
| Facility | $8,489.98 | $8,829.57 | $18,993.40 | |
Cigna
| Professional | $6,063.82 | $6,063.82 | $6,664.20 | |
Kaiser Permanente
| Professional | $6,008.29 | $10,620.04 | $10,620.04 | |
United
| Professional | $2,194.33 | $4,231.35 | $6,530.75 |