| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $6,025.60 | |
Aetna
| Professional | $79.43 | $549.54 | $2,951.21 | |
CareFirst
| Professional | $102.33 | $112.20 | $134.90 | |
Cigna
| Professional | $95.50 | $524.81 | $1,318.26 | |
Kaiser Permanente
| Professional | $512.86 | $676.08 | $1,318.26 | |
United
| Facility | $128.82 | $128.82 | $128.82 | |
United
| Professional | $83.18 | $380.19 | $1,288.25 | |
Wellpoint
| Professional | $588.84 | $776.25 | $933.25 |