| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,278.00 | $9,719.00 | |
Aetna
| Professional | $634.67 | $634.67 | $634.67 | |
CareFirst
| Professional | $597.17 | $597.17 | $650.92 | |
Kaiser Permanente
| Professional | $1,392.81 | $1,392.81 | $1,392.81 | |
United
| Facility | $29,924.00 | $45,102.00 | $151,718.00 | |
United
| Professional | $537.22 | $727.86 | $1,649.47 |