| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,482.35 | $15,482.35 | $15,482.35 | |
Aetna
| Professional | $15,482.35 | $15,482.35 | $15,482.35 | |
CareFirst
| Professional | $26,479.75 | $26,479.75 | $26,479.75 | |
Cigna
| Professional | $31,019.05 | $31,019.05 | $31,019.05 | |
Kaiser Permanente
| Professional | $24,588.34 | $24,588.34 | $75,091.21 | |
United
| Professional | $13,249.48 | $19,874.21 | $39,695.98 |