| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $98.99 | $98.99 | $98.99 | |
CareFirst
| Professional | $58.67 | $58.67 | $1,021.00 | |
Kaiser Permanente
| Professional | $100.86 | $218.37 | $218.37 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $72.16 | $110.64 | $245.46 |