| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $645.65 | $870.96 | $1,047.13 | |
CareFirst
| Professional | $8,709.64 | $8,709.64 | $8,709.64 | |
Kaiser Permanente
| Professional | $954.99 | $1,096.48 | $1,862.09 | |
United
| Facility | $16,595.87 | $16,595.87 | $16,595.87 | |
United
| Professional | $794.33 | $1,071.52 | $1,698.24 |