| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $101.55 | $101.55 | $101.55 | |
CareFirst
| Professional | $57.35 | $57.35 | $1,021.00 | |
Kaiser Permanente
| Professional | $97.04 | $210.10 | $210.10 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $71.17 | $109.12 | $245.46 |