| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,811.93 | $1,811.93 | $2,938.27 | |
Aetna
| Professional | $828.00 | $1,813.14 | $1,964.20 | |
CareFirst
| Professional | $1,958.85 | $1,958.85 | $2,233.09 | |
Cigna
| Professional | $1,267.86 | $1,609.22 | $6,018.33 | |
Kaiser Permanente
| Professional | $2,448.56 | $2,938.27 | $3,672.84 | |
United
| Facility | $1,028.40 | $1,028.40 | $1,028.40 | |
United
| Professional | $1,028.40 | $1,101.84 | $2,228.14 | |
Wellpoint
| Professional | $1,224.28 | $1,224.28 | $1,224.28 |