| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $7,244.36 | $9,772.37 | |
Aetna
| Professional | $758.58 | $1,000.00 | $1,174.90 | |
CareFirst
| Professional | $2,818.38 | $9,772.37 | $16,218.10 | |
Kaiser Permanente
| Professional | $1,148.15 | $1,230.27 | $2,041.74 | |
United
| Facility | $3,311.31 | $16,218.10 | $28,183.83 | |
United
| Professional | $954.99 | $1,513.56 | $2,754.23 |