| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $847.95 | $847.95 | $847.95 | |
Aetna
| Professional | $847.95 | $847.95 | $847.95 | |
CareFirst
| Professional | $1,072.40 | $1,331.16 | $1,331.16 | |
Kaiser Permanente
| Professional | $956.62 | $956.62 | $3,028.36 | |
United
| Professional | $603.36 | $1,009.19 | $1,209.47 |