| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,246.20 | $10,246.20 | $10,246.20 | |
Aetna
| Professional | $10,246.20 | $10,246.20 | $10,246.20 | |
CareFirst
| Professional | $11,118.98 | $11,118.98 | $11,118.98 | |
Cigna
| Professional | $9,170.98 | $9,170.98 | $9,170.98 | |
Kaiser Permanente
| Professional | $12,495.00 | $12,495.00 | $38,158.92 | |
United
| Professional | $6,393.45 | $9,590.17 | $13,586.08 |