| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,607.70 | $1,607.70 | $13,118.80 | |
Aetna
| Professional | $1,607.70 | $1,607.70 | $1,672.01 | |
CareFirst
| Professional | $1,714.88 | $1,714.88 | $1,714.88 | |
Cigna
| Facility | $3,483.35 | $3,622.68 | $7,793.29 | |
Cigna
| Professional | $1,174.63 | $3,078.92 | $16,701.66 | |
Kaiser Permanente
| Professional | $2,465.14 | $4,357.30 | $4,357.30 | |
United
| Professional | $252.88 | $957.34 | $1,950.63 |