| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $859.86 | $914.66 | $980.81 | |
Aetna
| Professional | $302.92 | $323.91 | $811.82 | |
CareFirst
| Professional | $380.00 | $380.00 | $429.40 | |
Kaiser Permanente
| Professional | $336.50 | $389.63 | $685.39 | |
United
| Facility | $375.00 | $375.00 | $375.00 | |
United
| Professional | $140.09 | $281.89 | $526.91 |