| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $2,137.96 | $7,762.47 | |
Aetna
| Professional | $12.88 | $64.57 | $67.61 | |
CareFirst
| Professional | $1,230.27 | $2,137.96 | $6,165.95 | |
Kaiser Permanente
| Professional | $42.66 | $44.67 | $141.25 | |
United
| Facility | $4,073.80 | $16,218.10 | $33,884.42 | |
United
| Professional | $26.30 | $54.95 | $162.18 |