| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,059.61 | $2,059.61 | $2,059.61 | |
Aetna
| Professional | $2,059.61 | $2,059.61 | $2,059.61 | |
CareFirst
| Professional | $2,072.00 | $2,165.44 | $2,641.45 | |
Cigna
| Professional | $2,031.28 | $2,031.28 | $2,031.28 | |
Kaiser Permanente
| Professional | $2,511.64 | $2,511.64 | $7,670.39 | |
United
| Professional | $1,285.16 | $1,927.73 | $2,730.96 |