| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.06 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $108.06 | $108.06 | $108.06 | |
CareFirst
| Professional | $68.50 | $68.50 | $1,021.00 | |
Kaiser Permanente
| Professional | $110.23 | $237.87 | $237.87 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $85.94 | $183.36 | $259.49 |