| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $7,244.36 | $9,772.37 | |
Aetna
| Professional | $549.54 | $630.96 | $660.69 | |
CareFirst
| Professional | $537.03 | $602.56 | $794.33 | |
Kaiser Permanente
| Professional | $1,380.38 | $1,380.38 | $1,380.38 | |
United
| Facility | $30,199.52 | $63,095.73 | $154,881.66 | |
United
| Professional | $537.03 | $812.83 | $1,621.81 |