| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $3,162.28 | $7,762.47 | |
Aetna
| Professional | $56.23 | $95.50 | $371.54 | |
CareFirst
| Professional | $52.48 | $426.58 | $1,258.93 | |
Kaiser Permanente
| Professional | $102.33 | $107.15 | $218.78 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $74.13 | $109.65 | $239.88 |