| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,278.00 | $9,719.00 | |
Aetna
| Professional | $996.84 | $996.84 | $996.84 | |
CareFirst
| Professional | $2,711.00 | $4,930.00 | $8,500.00 | |
Kaiser Permanente
| Professional | $1,445.51 | $2,468.19 | $2,468.19 | |
United
| Facility | $2,648.00 | $9,894.00 | $32,025.93 | |
United
| Professional | $1,083.03 | $2,114.59 | $3,465.86 |