| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $6,011.00 | $6,945.00 | |
Aetna
| Professional | $6,248.83 | $6,248.83 | $6,248.83 | |
CareFirst
| Professional | $584.75 | $584.75 | $637.38 | |
Kaiser Permanente
| Professional | $13,870.31 | $13,870.31 | $13,870.31 | |
United
| Facility | $7,840.00 | $10,006.00 | $47,612.00 | |
United
| Professional | $10,146.27 | $17,121.83 | $36,025.72 |