| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,383.39 | $5,383.39 | $5,383.39 | |
Aetna
| Professional | $163.54 | $206.72 | $487.14 | |
CareFirst
| Professional | $130.77 | $130.77 | $149.47 | |
Cigna
| Facility | $4,878.81 | $4,878.81 | $4,878.81 | |
Kaiser Permanente
| Professional | $262.73 | $333.66 | $394.09 | |
United
| Professional | $150.60 | $215.85 | $376.85 |