| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,004.00 | $4,601.00 | |
Aetna
| Professional | $383.93 | $383.93 | $383.93 | |
CareFirst
| Professional | $305.31 | $305.31 | $332.79 | |
Kaiser Permanente
| Professional | $412.40 | $835.24 | $835.24 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 | |
United
| Professional | $319.88 | $485.14 | $1,038.88 |