| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.99 | $1,930.99 | $15,756.90 | |
Aetna
| Professional | $1,930.99 | $1,930.99 | $2,008.23 | |
CareFirst
| Professional | $2,059.71 | $2,059.71 | $2,059.71 | |
Cigna
| Facility | $4,183.80 | $4,351.14 | $9,359.81 | |
Cigna
| Professional | $2,987.90 | $2,987.90 | $3,283.73 | |
Kaiser Permanente
| Professional | $2,960.85 | $5,233.49 | $5,233.49 | |
United
| Professional | $1,081.34 | $1,544.79 | $4,093.69 |