| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,533.12 | $9,533.12 | $9,533.12 | |
Aetna
| Professional | $9,533.12 | $9,533.12 | $9,533.12 | |
CareFirst
| Professional | $9,590.00 | $9,590.00 | $9,590.00 | |
Cigna
| Professional | $8,567.87 | $8,567.87 | $8,567.87 | |
Kaiser Permanente
| Professional | $11,625.41 | $11,625.41 | $35,503.26 | |
United
| Professional | $5,948.50 | $8,922.76 | $12,640.57 |