| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,522.75 | $2,059.54 | $2,184.69 | |
CareFirst
| Professional | $816.17 | $816.17 | $1,036.54 | |
Kaiser Permanente
| Professional | $4,485.34 | $9,227.51 | $12,804.36 | |
United
| Professional | $782.24 | $1,433.29 | $2,956.08 |