| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $636.85 | $811.99 | $1,678.77 | |
Aetna
| Professional | $446.17 | $693.71 | $693.71 | |
CareFirst
| Professional | $743.78 | $743.78 | $743.78 | |
Kaiser Permanente
| Professional | $750.75 | $750.75 | $1,007.30 | |
United
| Professional | $883.24 | $883.24 | $1,431.54 |