| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $342.36 | $366.11 | $366.11 | |
CareFirst
| Professional | $463.89 | $463.89 | $463.89 | |
Kaiser Permanente
| Professional | $348.99 | $404.10 | $755.70 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 | |
United
| Professional | $270.45 | $306.52 | $894.94 |