| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,004.82 | $9,004.82 | $9,004.82 | |
Aetna
| Professional | $5,800.96 | $6,248.83 | $10,301.44 | |
CareFirst
| Professional | $584.75 | $584.75 | $668.38 | |
Kaiser Permanente
| Professional | $3,832.64 | $4,880.93 | $13,870.31 | |
United
| Professional | $9,512.12 | $12,300.09 | $20,899.96 |