| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,802.47 | $6,802.47 | $6,802.47 | |
Aetna
| Professional | $6,802.47 | $6,802.47 | $6,802.47 | |
CareFirst
| Professional | $6,843.00 | $6,843.00 | $8,724.17 | |
Cigna
| Professional | $6,626.25 | $6,626.25 | $6,626.25 | |
Kaiser Permanente
| Professional | $8,295.44 | $8,295.44 | $25,333.74 | |
United
| Professional | $4,244.62 | $6,366.93 | $9,685.32 |