| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $1,258.93 | $2,454.71 | |
CareFirst
| Professional | $831.76 | $977.24 | $1,148.15 | |
Kaiser Permanente
| Professional | $1,230.27 | $1,348.96 | $2,570.40 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $933.25 | $1,258.93 | $2,187.76 |