| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $2,511.89 | $2,511.89 | |
Aetna
| Professional | $363.08 | $446.68 | $776.25 | |
CareFirst
| Professional | $467.74 | $467.74 | $588.84 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $363.08 | $363.08 | $501.19 | |
Kaiser Permanente
| Professional | $602.56 | $851.14 | $1,288.25 | |
United
| Facility | $524.81 | $602.56 | $616.60 | |
United
| Professional | $380.19 | $436.52 | $660.69 | |
Wellpoint
| Professional | $489.78 | $489.78 | $724.44 |