| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $980.81 | $980.81 | $980.81 | |
Aetna
| Professional | $93.25 | $99.71 | $249.91 | |
CareFirst
| Professional | $380.00 | $380.00 | $429.40 | |
Kaiser Permanente
| Professional | $93.23 | $107.95 | $196.28 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $60.59 | $80.16 | $153.94 |