| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,673.00 | $10,673.00 | $10,673.00 | |
CareFirst
| Professional | $1,395.16 | $1,395.16 | $1,395.16 | |
Cigna
| Facility | $2,833.93 | $2,947.28 | $6,339.86 | |
Cigna
| Professional | $2,023.91 | $2,023.91 | $2,224.30 | |
Kaiser Permanente
| Professional | $2,005.54 | $3,544.93 | $3,544.93 | |
United
| Facility | $491.32 | $491.32 | $491.32 | |
United
| Professional | $491.32 | $701.88 | $1,859.98 |