| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $51.29 | $15,135.61 | |
Aetna
| Professional | $46.77 | $177.83 | $707.95 | |
CareFirst
| Professional | $125.89 | $125.89 | $1,380.38 | |
Kaiser Permanente
| Professional | $173.78 | $229.09 | $309.03 | |
United
| Facility | $128.82 | $128.82 | $128.82 | |
United
| Professional | $36.31 | $53.70 | $177.83 |