| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,883.96 | $1,883.96 | $1,883.96 | |
Aetna
| Professional | $1,883.96 | $1,883.96 | $1,883.96 | |
CareFirst
| Professional | $1,895.00 | $1,895.00 | $2,416.17 | |
Cigna
| Professional | $1,770.33 | $1,770.33 | $1,770.33 | |
Kaiser Permanente
| Professional | $2,297.44 | $2,297.44 | $7,016.25 | |
United
| Professional | $1,175.56 | $1,763.34 | $2,498.07 |