| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,144.00 | $8,043.00 | |
Aetna
| Professional | $2,364.52 | $2,364.52 | $2,364.52 | |
CareFirst
| Professional | $13,706.00 | $16,714.00 | $34,052.00 | |
Kaiser Permanente
| Professional | $2,251.62 | $4,876.37 | $4,876.37 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 | |
United
| Professional | $1,053.27 | $1,777.40 | $3,451.77 |