| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $481.65 | $4,004.00 | $6,700.50 | |
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
CareFirst
| Professional | $130.77 | $130.77 | $10,666.00 | |
Kaiser Permanente
| Professional | $262.01 | $465.29 | $465.29 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 | |
United
| Professional | $164.46 | $285.89 | $678.94 |