| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,192.68 | $8,192.68 | $8,192.68 | |
Aetna
| Professional | $271.75 | $340.87 | $841.52 | |
CareFirst
| Professional | $308.62 | $308.62 | $354.91 | |
Cigna
| Professional | $302.62 | $385.91 | $663.63 | |
Kaiser Permanente
| Professional | $400.01 | $495.25 | $800.58 | |
United
| Facility | $950.00 | $950.00 | $950.00 | |
United
| Professional | $283.29 | $385.73 | $693.46 | |
Wellpoint
| Professional | $310.38 | $350.58 | $462.33 |