| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,218.75 | $3,347.50 | $9,945.00 | |
Aetna
| Professional | $1,218.75 | $1,218.75 | $1,267.50 | |
CareFirst
| Professional | $1,300.00 | $1,462.50 | $1,462.50 | |
Cigna
| Facility | $2,640.63 | $2,746.25 | $5,907.76 | |
Cigna
| Professional | $890.48 | $2,334.48 | $12,662.42 | |
Kaiser Permanente
| Professional | $1,868.75 | $3,303.14 | $3,303.14 | |
United
| Professional | $682.50 | $975.00 | $2,583.75 |