| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,426.25 | $1,426.25 | $1,426.25 | |
Aetna
| Professional | $1,426.25 | $1,426.25 | $1,426.25 | |
CareFirst
| Professional | $1,435.00 | $1,435.00 | $1,829.16 | |
Cigna
| Professional | $1,431.35 | $1,431.35 | $1,431.35 | |
Kaiser Permanente
| Professional | $1,739.27 | $1,739.27 | $5,311.63 | |
United
| Professional | $889.95 | $1,334.93 | $2,281.65 |