| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,905.46 | $1,949.84 | $3,630.78 | |
CareFirst
| Professional | $3,548.13 | $3,981.07 | $4,365.16 | |
Kaiser Permanente
| Professional | $5,754.40 | $5,754.40 | $10,000.00 | |
United
| Professional | $1,047.13 | $1,122.02 | $3,981.07 |