| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,836.42 | $4,444.13 | $14,985.20 | |
Aetna
| Professional | $1,836.42 | $1,836.42 | $1,909.88 | |
CareFirst
| Professional | $1,958.85 | $1,958.85 | $1,958.85 | |
Cigna
| Facility | $3,978.90 | $4,138.06 | $8,901.52 | |
Cigna
| Professional | $1,384.60 | $3,127.34 | $19,077.22 | |
Kaiser Permanente
| Professional | $2,815.84 | $4,977.18 | $4,977.18 | |
United
| Professional | $1,028.40 | $1,469.14 | $3,893.21 |