| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.03 | $150.33 | $702.13 | |
Aetna
| Professional | $13.75 | $13.75 | $13.75 | |
CareFirst
| Professional | $13.27 | $147.88 | $236.38 | |
Kaiser Permanente
| Professional | $33.11 | $33.11 | $33.11 | |
United
| Facility | $345.75 | $360.10 | $399.79 | |
United
| Professional | $18.27 | $37.32 | $41.93 |