| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.99 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $273.99 | $273.99 | $273.99 | |
CareFirst
| Professional | $339.00 | $441.00 | $480.69 | |
Kaiser Permanente
| Professional | $318.12 | $690.43 | $690.43 |