| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,311.95 | $11,311.95 | $11,311.95 | |
Aetna
| Professional | $11,311.95 | $11,311.95 | $11,311.95 | |
CareFirst
| Professional | $11,149.90 | $11,149.90 | $11,149.90 | |
Cigna
| Professional | $10,108.58 | $10,108.58 | $10,108.58 | |
Kaiser Permanente
| Professional | $13,794.63 | $13,794.63 | $42,127.93 | |
United
| Professional | $7,058.45 | $10,587.68 | $14,999.21 |