| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,493.00 | $2,493.00 | $20,342.90 | |
Aetna
| Professional | $2,493.00 | $2,493.00 | $2,592.71 | |
CareFirst
| Professional | $2,659.20 | $2,991.60 | $2,991.60 | |
Cigna
| Facility | $5,401.50 | $5,617.56 | $12,083.35 | |
Cigna
| Professional | $1,821.51 | $4,774.28 | $25,899.18 | |
Kaiser Permanente
| Professional | $3,822.60 | $6,756.69 | $6,756.69 | |
United
| Facility | $3,988.80 | $3,988.80 | $3,988.80 | |
United
| Professional | $1,396.08 | $1,994.40 | $4,155.00 |