| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,278.00 | $9,719.00 | |
Aetna
| Professional | $769.36 | $769.36 | $769.36 | |
CareFirst
| Professional | $2,711.00 | $9,392.00 | $14,765.00 | |
Kaiser Permanente
| Professional | $941.62 | $1,994.65 | $1,994.65 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 | |
United
| Professional | $949.40 | $1,656.83 | $2,863.04 |