| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $776.77 | $909.62 | $14,361.00 | |
Kaiser Permanente
| Professional | $1,582.90 | $27,718.30 | $27,718.30 | |
United
| Facility | $21,500.00 | $21,500.00 | $21,500.00 | |
United
| Professional | $10,765.14 | $21,987.08 | $37,371.10 |